Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.06 / $1,395.50 / $1,395.50	Professional		$333.06	$1,395.50	$1,395.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.65 / $410.65 / $410.65	Facility		$410.65	$410.65	$410.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.85 / $410.65 / $446.98	Professional		$316.85	$410.65	$446.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.78 / $504.40 / $512.33	Facility		$202.78	$504.40	$512.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.42 / $374.17 / $539.70	Professional		$249.42	$374.17	$539.70
United Facility/Professional Professional Modifier Low / Median / High Price $395.75 / $462.00 / $718.71	Professional		$395.75	$462.00	$718.71