Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $3,703.50 / $3,933.10	Facility		$339.00	$3,703.50	$3,933.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $103.19 / $452.00	Professional		$93.43	$103.19	$452.00
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 $162.47 / $162.47 / $162.47	Professional		$162.47	$162.47	$162.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $162.47 / $162.47	Facility		$162.47	$162.47	$162.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.52 / $162.47 / $175.76	Professional		$118.52	$162.47	$175.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.66 / $176.47 / $182.65	Facility		$79.66	$176.47	$182.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $147.05 / $212.10	Professional		$98.02	$147.05	$212.10
United Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $179.83 / $283.95	Professional		$143.31	$179.83	$283.95