Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $251.50 / $852.93	Professional		$143.84	$251.50	$852.93
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 $262.89 / $262.89 / $498.46	Professional		$262.89	$262.89	$498.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.89 / $262.89 / $262.89	Facility		$262.89	$262.89	$262.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $307.30 / $671.39	Professional		$162.38	$307.30	$671.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.61 / $287.92 / $469.32	Facility		$154.61	$287.92	$469.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.52 / $423.69 / $802.80	Professional		$230.52	$423.69	$802.80
United Facility/Professional Facility Modifier Low / Median / High Price $385.52 / $385.52 / $385.52	Facility		$385.52	$385.52	$385.52
United Facility/Professional Professional Modifier Low / Median / High Price $377.10 / $460.90 / $604.86	Professional		$377.10	$460.90	$604.86