Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.60 / $670.23 / $2,753.65	Professional		$580.60	$670.23	$2,753.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.43 / $1,007.43 / $1,007.43	Professional		$1,007.43	$1,007.43	$1,007.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.43 / $1,245.40 / $3,830.00	Facility		$1,007.43	$1,245.40	$3,830.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.25 / $812.47 / $1,226.68	Professional		$638.25	$812.47	$1,226.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,002.41 / $1,245.40 / $1,985.55	Facility		$1,002.41	$1,245.40	$1,985.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.55 / $859.31 / $1,200.38	Professional		$606.55	$859.31	$1,200.38
United Facility/Professional Professional Modifier Low / Median / High Price $797.09 / $870.66 / $1,163.66	Professional		$797.09	$870.66	$1,163.66