Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.13 / $2,663.20 / $2,663.20	Professional		$468.13	$2,663.20	$2,663.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.78 / $77,999.99 / $94,999.99	Facility		$4,079.78	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $54.68 / $639.90	Professional		$54.68	$54.68	$639.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $638.15 / $791.05 / $2,424.94	Facility		$638.15	$791.05	$2,424.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.24 / $639.90 / $1,248.05	Professional		$292.24	$639.90	$1,248.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $638.15 / $791.05 / $2,424.94	Facility		$638.15	$791.05	$2,424.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.79 / $577.46 / $781.60	Professional		$398.79	$577.46	$781.60
United Facility/Professional Professional Modifier Low / Median / High Price $339.43 / $393.27 / $812.53	Professional		$339.43	$393.27	$812.53