Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.74 / $475.00 / $638.00	Professional		$379.74	$475.00	$638.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.24 / $77,999.99 / $94,999.99	Facility		$3,585.24	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $105.69 / $609.92	Professional		$105.69	$105.69	$609.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.34 / $701.35 / $1,152.51	Facility		$567.34	$701.35	$1,152.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.25 / $581.16 / $937.81	Professional		$443.25	$581.16	$937.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.20 / $758.74 / $1,152.51	Facility		$381.20	$758.74	$1,152.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.78 / $567.34 / $844.47	Professional		$380.78	$567.34	$844.47
United Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $382.06 / $759.28	Professional		$367.50	$382.06	$759.28