Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.44 / $573.85 / $3,208.57	Professional		$546.44	$573.85	$3,208.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.66 / $64,999.99 / $94,999.99	Facility		$668.66	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.66 / $668.66 / $668.66	Professional		$668.66	$668.66	$668.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.55 / $848.30 / $2,844.30	Facility		$723.55	$848.30	$2,844.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.55 / $723.55 / $723.55	Professional		$723.55	$723.55	$723.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $723.55 / $848.30 / $2,844.30	Facility		$723.55	$848.30	$2,844.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $449.10 / $723.55	Professional		$449.10	$449.10	$723.55
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $209.58 / $499.00	Professional		$209.58	$209.58	$499.00