Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.65 / $546.46 / $2,111.07	Professional		$400.65	$546.46	$2,111.07
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 $654.10 / $654.10 / $654.10	Professional		$654.10	$654.10	$654.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.10 / $654.10 / $654.10	Facility		$654.10	$654.10	$654.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.05 / $654.10 / $685.01	Professional		$333.05	$654.10	$685.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.86 / $403.58 / $654.10	Facility		$322.86	$403.58	$654.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.49 / $649.20 / $842.80	Professional		$389.49	$649.20	$842.80
United Facility/Professional Professional Modifier Low / Median / High Price $545.20 / $652.79 / $758.34	Professional		$545.20	$652.79	$758.34