Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.54 / $2,412.86 / $2,412.86	Professional		$431.54	$2,412.86	$2,412.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.84 / $64,999.99 / $94,999.99	Facility		$502.84	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.84 / $502.84 / $502.84	Professional		$502.84	$502.84	$502.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.11 / $637.92 / $2,138.92	Facility		$544.11	$637.92	$2,138.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.11 / $544.11 / $544.11	Professional		$544.11	$544.11	$544.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $544.11 / $637.92 / $2,138.92	Facility		$544.11	$637.92	$2,138.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $337.73 / $544.11	Professional		$337.73	$337.73	$544.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $157.61 / $375.25	Professional		$39.10	$157.61	$375.25