Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.12 / $562.94 / $1,043.48	Professional		$441.12	$562.94	$1,043.48
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 $429.58 / $429.58 / $464.81	Professional		$429.58	$429.58	$464.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.58 / $429.58 / $429.58	Facility		$429.58	$429.58	$429.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.91 / $464.81 / $1,182.61	Professional		$276.91	$464.81	$1,182.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.58 / $695.57 / $2,137.50	Facility		$429.58	$695.57	$2,137.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.30 / $394.60 / $647.33	Professional		$278.30	$394.60	$647.33
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 $461.99 / $529.20 / $1,139.04	Professional		$461.99	$529.20	$1,139.04