Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.29 / $552.29 / $1,041.76	Professional		$552.29	$552.29	$1,041.76
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 $975.36 / $975.36 / $975.36	Professional		$975.36	$975.36	$975.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.36 / $975.36 / $975.36	Facility		$975.36	$975.36	$975.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.79 / $975.36 / $975.36	Professional		$580.79	$975.36	$975.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.82 / $975.36 / $1,016.43	Facility		$476.82	$975.36	$1,016.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.62 / $890.53 / $1,284.50	Professional		$593.62	$890.53	$1,284.50
United Facility/Professional Professional Modifier Low / Median / High Price $801.35 / $1,005.95 / $1,701.08	Professional		$801.35	$1,005.95	$1,701.08