Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.68 / $425.90 / $2,153.80	Professional		$386.68	$425.90	$2,153.80
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 $647.79 / $647.79 / $647.79	Facility		$647.79	$647.79	$647.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.02 / $647.79 / $675.12	Professional		$463.02	$647.79	$675.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.42 / $749.45 / $773.55	Facility		$320.42	$749.45	$773.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.20 / $582.36 / $840.00	Professional		$388.20	$582.36	$840.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.02 / $693.25 / $1,122.95	Professional		$588.02	$693.25	$1,122.95