Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.60 / $921.60 / $921.60	Facility		$921.60	$921.60	$921.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $211.24 / $377.63	Professional		$192.03	$211.24	$377.63
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 $308.64 / $308.64 / $381.21	Professional		$308.64	$308.64	$381.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.64 / $308.64 / $308.64	Facility		$308.64	$308.64	$308.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $332.90 / $381.21	Professional		$258.64	$332.90	$381.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.49 / $376.35 / $395.95	Facility		$186.49	$376.35	$395.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.59 / $311.66 / $432.04	Professional		$202.59	$311.66	$432.04
United Facility/Professional Professional Modifier Low / Median / High Price $317.24 / $391.49 / $668.76	Professional		$317.24	$391.49	$668.76