Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.92 / $480.35 / $1,350.23	Professional		$437.92	$480.35	$1,350.23
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.98 / $396.98 / $396.98	Facility		$396.98	$396.98	$396.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.05 / $462.70 / $1,005.11	Professional		$259.05	$462.70	$1,005.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.98 / $700.00 / $1,128.59	Facility		$396.98	$700.00	$1,128.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $393.22 / $608.29	Professional		$256.92	$393.22	$608.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,490.00 / $1,490.00 / $1,490.00	Facility		$1,490.00	$1,490.00	$1,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.07 / $491.48 / $806.61	Professional		$434.07	$491.48	$806.61