Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $409.38 / $791.12	Professional		$233.18	$409.38	$791.12
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 $354.39 / $354.39 / $768.72	Professional		$354.39	$354.39	$768.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.39 / $354.39 / $354.39	Facility		$354.39	$354.39	$354.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.68 / $470.67 / $1,053.01	Professional		$266.68	$470.67	$1,053.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.70 / $486.79 / $866.53	Facility		$228.70	$486.79	$866.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.06 / $602.00 / $1,237.24	Professional		$307.06	$602.00	$1,237.24
United Facility/Professional Professional Modifier Low / Median / High Price $635.90 / $785.28 / $976.58	Professional		$635.90	$785.28	$976.58