Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $308.17 / $1,052.09	Professional		$163.61	$308.17	$1,052.09
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 $251.33 / $251.33 / $496.88	Professional		$251.33	$251.33	$496.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.33 / $251.33 / $251.33	Facility		$251.33	$251.33	$251.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $270.05 / $496.88	Professional		$251.33	$270.05	$496.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $505.70 / $541.41	Facility		$155.24	$505.70	$541.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.03 / $327.60 / $516.01	Professional		$164.03	$327.60	$516.01
United Facility/Professional Professional Modifier Low / Median / High Price $412.66 / $509.24 / $880.61	Professional		$412.66	$509.24	$880.61