Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.18 / $693.46 / $9,157.42	Professional		$447.18	$693.46	$9,157.42
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 $813.41 / $813.41 / $813.41	Professional		$813.41	$813.41	$813.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.41 / $813.41 / $813.41	Facility		$813.41	$813.41	$813.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.34 / $813.41 / $834.59	Professional		$414.34	$813.41	$834.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.83 / $527.69 / $813.41	Facility		$400.83	$527.69	$813.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $482.99 / $805.03 / $1,045.09	Professional		$482.99	$805.03	$1,045.09
United Facility/Professional Professional Modifier Low / Median / High Price $681.97 / $812.56 / $928.64	Professional		$681.97	$812.56	$928.64