Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.70 / $650.00 / $4,342.82	Professional		$337.70	$650.00	$4,342.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $905.04 / $4,162.14 / $94,999.99	Facility		$905.04	$4,162.14	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.04 / $905.04 / $905.04	Professional		$905.04	$905.04	$905.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $979.33 / $1,148.18 / $3,849.78	Facility		$979.33	$1,148.18	$3,849.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.33 / $979.33 / $979.33	Professional		$979.33	$979.33	$979.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $979.33 / $1,148.18 / $3,849.78	Facility		$979.33	$1,148.18	$3,849.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.86 / $607.86 / $979.33	Professional		$607.86	$607.86	$979.33
United Facility/Professional Professional Modifier Low / Median / High Price $271.01 / $283.67 / $675.40	Professional		$271.01	$283.67	$675.40