Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.36 / $495.41 / $3,025.05	Professional		$175.36	$495.41	$3,025.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $284.45 / $872.30	Professional		$284.45	$284.45	$872.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.45 / $284.45 / $284.45	Facility		$284.45	$284.45	$284.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.65 / $539.54 / $1,371.57	Professional		$229.65	$539.54	$1,371.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.54 / $363.52 / $767.84	Facility		$166.54	$363.52	$767.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $557.09 / $1,437.52	Professional		$259.64	$557.09	$1,437.52
United Facility/Professional Professional Modifier Low / Median / High Price $795.51 / $972.72 / $1,368.27	Professional		$795.51	$972.72	$1,368.27