Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $213.95 / $1,448.78	Professional		$78.04	$213.95	$1,448.78
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 $133.55 / $133.55 / $456.92	Professional		$133.55	$133.55	$456.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $133.55 / $133.55	Facility		$133.55	$133.55	$133.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $246.38 / $533.22	Professional		$87.58	$246.38	$533.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $219.76 / $406.07	Facility		$78.75	$219.76	$406.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $294.06 / $742.47	Professional		$116.57	$294.06	$742.47
United Facility/Professional Professional Modifier Low / Median / High Price $336.10 / $422.40 / $554.34	Professional		$336.10	$422.40	$554.34