Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.50 / $866.70 / $2,642.13	Facility		$355.50	$866.70	$2,642.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $279.00 / $874.81	Professional		$97.14	$279.00	$874.81
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 $164.05 / $164.05 / $457.97	Professional		$164.05	$164.05	$457.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.05 / $164.05 / $164.05	Facility		$164.05	$164.05	$164.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $295.45 / $622.10	Professional		$113.75	$295.45	$622.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $221.02 / $403.89	Facility		$101.75	$221.02	$403.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $309.54 / $754.72	Professional		$147.65	$309.54	$754.72
United Facility/Professional Professional Modifier Low / Median / High Price $419.44 / $505.04 / $636.30	Professional		$419.44	$505.04	$636.30