Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.51 / $880.96 / $1,094.10	Professional		$180.51	$880.96	$1,094.10
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $275.52 / $366.48	Professional		$275.52	$275.52	$366.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.52 / $275.52 / $275.52	Facility		$275.52	$275.52	$275.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.56 / $275.52 / $366.48	Professional		$204.56	$275.52	$366.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.87 / $312.64 / $332.06	Facility		$168.87	$312.64	$332.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $278.05 / $386.18	Professional		$181.21	$278.05	$386.18
United Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $343.94 / $647.50	Professional		$278.70	$343.94	$647.50