Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.05 / $1,767.16 / $1,767.16	Professional		$316.05	$1,767.16	$1,767.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.27 / $68,099.99 / $94,999.99	Facility		$368.27	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.27 / $368.27 / $368.27	Professional		$368.27	$368.27	$368.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $467.21 / $1,566.53	Facility		$398.50	$467.21	$1,566.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $398.50 / $398.50	Professional		$129.80	$398.50	$398.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $467.21 / $1,566.53	Facility		$398.50	$467.21	$1,566.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $247.35 / $398.50	Professional		$247.35	$247.35	$398.50
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $274.83	Professional		$115.43	$115.43	$274.83