Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.18 / $387.50 / $2,072.17	Professional		$323.18	$387.50	$2,072.17
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 $612.03 / $612.03 / $694.58	Professional		$612.03	$612.03	$694.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.03 / $612.03 / $612.03	Facility		$612.03	$612.03	$612.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.25 / $445.65 / $723.43	Professional		$389.25	$445.65	$723.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $388.13 / $612.03 / $914.85	Facility		$388.13	$612.03	$914.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.12 / $549.84 / $723.43	Professional		$397.12	$549.84	$723.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $1,450.00	Facility		$1,450.00	$1,450.00	$1,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.96 / $711.68 / $841.53	Professional		$644.96	$711.68	$841.53