Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.50 / $1,342.51 / $3,629.97	Facility		$418.50	$1,342.51	$3,629.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $215.27 / $454.15	Professional		$83.26	$215.27	$454.15
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 $132.50 / $132.50 / $349.13	Professional		$132.50	$132.50	$349.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.50 / $132.50 / $132.50	Facility		$132.50	$132.50	$132.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $226.93 / $420.60	Professional		$97.34	$226.93	$420.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.12 / $132.50 / $349.59	Facility		$80.12	$132.50	$349.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $246.05 / $575.36	Professional		$116.42	$246.05	$575.36
United Facility/Professional Professional Modifier Low / Median / High Price $377.40 / $429.20 / $606.79	Professional		$377.40	$429.20	$606.79