Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.70 / $362.70 / $2,427.98	Facility		$362.70	$362.70	$2,427.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $146.77 / $433.54	Professional		$75.70	$146.77	$433.54
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 $127.24 / $127.24 / $272.89	Professional		$127.24	$127.24	$272.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.24 / $127.24 / $127.24	Facility		$127.24	$127.24	$127.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $176.68 / $370.78	Professional		$86.40	$176.68	$370.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $175.10 / $304.23	Facility		$82.90	$175.10	$304.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $216.54 / $439.85	Professional		$114.52	$216.54	$439.85
United Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $281.89 / $340.21	Professional		$228.43	$281.89	$340.21