Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $320.85 / $1,793.97	Professional		$139.50	$320.85	$1,793.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.86 / $64,999.99 / $94,999.99	Facility		$373.86	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.86 / $373.86 / $373.86	Professional		$373.86	$373.86	$373.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.55 / $474.30 / $1,590.30	Facility		$404.55	$474.30	$1,590.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.55 / $404.55 / $404.55	Professional		$404.55	$404.55	$404.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.55 / $474.30 / $1,590.30	Facility		$404.55	$474.30	$1,590.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $251.10 / $404.55	Professional		$251.10	$251.10	$404.55
United Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $117.18 / $279.00	Professional		$58.86	$117.18	$279.00