Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.02 / $450.00 / $1,498.64	Professional		$268.02	$450.00	$1,498.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.31 / $64,999.99 / $94,999.99	Facility		$312.31	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.31 / $312.31 / $312.31	Professional		$312.31	$312.31	$312.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.95 / $396.22 / $1,328.50	Facility		$337.95	$396.22	$1,328.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.95 / $337.95 / $337.95	Professional		$337.95	$337.95	$337.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.95 / $396.22 / $1,328.50	Facility		$337.95	$396.22	$1,328.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $209.76 / $337.95	Professional		$209.76	$209.76	$337.95
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $97.89 / $233.07	Professional		$97.89	$97.89	$233.07