Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $404.14 / $777.83	Professional		$139.37	$404.14	$777.83
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 $229.25 / $252.17 / $613.08	Professional		$229.25	$252.17	$613.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.25 / $229.25 / $229.25	Facility		$229.25	$229.25	$229.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $229.25 / $551.77	Professional		$119.05	$229.25	$551.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.98 / $229.25 / $370.53	Facility		$113.98	$229.25	$370.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $382.38 / $800.25	Professional		$190.83	$382.38	$800.25
United Facility/Professional Professional Modifier Low / Median / High Price $590.07 / $671.06 / $740.48	Professional		$590.07	$671.06	$740.48