Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.91 / $1,676.88 / $1,676.88	Professional		$299.91	$1,676.88	$1,676.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.60 / $68,999.99 / $94,999.99	Facility		$908.60	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.15 / $443.34 / $1,486.50	Facility		$378.15	$443.34	$1,486.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.15 / $378.15 / $378.15	Professional		$378.15	$378.15	$378.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.15 / $443.34 / $1,486.50	Facility		$378.15	$443.34	$1,486.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $234.71 / $378.15	Professional		$234.71	$234.71	$378.15
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $109.53 / $260.79	Professional		$109.53	$109.53	$260.79