Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.69 / $1,273.08 / $1,273.08	Professional		$227.69	$1,273.08	$1,273.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.31 / $64,999.99 / $94,999.99	Facility		$265.31	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.31 / $265.31 / $265.31	Professional		$265.31	$265.31	$265.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $336.58 / $1,128.54	Facility		$287.08	$336.58	$1,128.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.08 / $287.08 / $287.08	Professional		$287.08	$287.08	$287.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $336.58 / $1,128.54	Facility		$287.08	$336.58	$1,128.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $178.19 / $287.08	Professional		$178.19	$178.19	$287.08
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $83.16 / $197.99	Professional		$83.16	$83.16	$197.99