Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.31 / $396.41 / $1,387.90	Professional		$292.31	$396.41	$1,387.90
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 $539.47 / $539.47 / $753.47	Professional		$539.47	$539.47	$753.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.47 / $539.47 / $539.47	Facility		$539.47	$539.47	$539.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.73 / $539.47 / $1,036.86	Professional		$331.73	$539.47	$1,036.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $441.09 / $748.88	Facility		$322.95	$441.09	$748.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.26 / $750.90 / $1,212.32	Professional		$456.26	$750.90	$1,212.32
United Facility/Professional Professional Modifier Low / Median / High Price $589.86 / $724.47 / $927.51	Professional		$589.86	$724.47	$927.51