Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.14 / $316.81 / $1,422.00	Professional		$316.14	$316.81	$1,422.00
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 $594.15 / $594.15 / $594.15	Professional		$594.15	$594.15	$594.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.15 / $594.15 / $594.15	Facility		$594.15	$594.15	$594.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.47 / $594.15 / $621.58	Professional		$296.47	$594.15	$621.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.39 / $368.29 / $594.15	Facility		$294.39	$368.29	$594.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.72 / $576.94 / $756.25	Professional		$346.72	$576.94	$756.25
United Facility/Professional Professional Modifier Low / Median / High Price $486.45 / $589.95 / $662.40	Professional		$486.45	$589.95	$662.40