Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.06 / $335.27 / $625.27	Professional		$306.06	$335.27	$625.27
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 $552.62 / $552.62 / $608.88	Professional		$552.62	$552.62	$608.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.62 / $552.62 / $552.62	Facility		$552.62	$552.62	$552.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.23 / $392.85 / $638.45	Professional		$348.23	$392.85	$638.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.63 / $552.62 / $1,026.00	Facility		$326.63	$552.62	$1,026.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.61 / $497.92 / $655.21	Professional		$359.61	$497.92	$655.21
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $641.48 / $774.20	Professional		$575.12	$641.48	$774.20