Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $453.18 / $928.71	Professional		$167.21	$453.18	$928.71
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 $287.08 / $287.08 / $878.09	Professional		$287.08	$287.08	$878.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $287.08 / $287.08	Facility		$287.08	$287.08	$287.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $515.35 / $1,137.93	Professional		$187.34	$515.35	$1,137.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.89 / $518.10 / $941.79	Facility		$178.89	$518.10	$941.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $555.16 / $1,412.82	Professional		$251.86	$555.16	$1,412.82
United Facility/Professional Professional Modifier Low / Median / High Price $722.86 / $864.69 / $1,531.79	Professional		$722.86	$864.69	$1,531.79