Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $438.96 / $2,454.33	Professional		$190.85	$438.96	$2,454.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.48 / $2,352.25 / $94,999.99	Facility		$511.48	$2,352.25	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.48 / $511.48 / $511.48	Professional		$511.48	$511.48	$511.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.47 / $648.89 / $2,175.69	Facility		$553.47	$648.89	$2,175.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.47 / $553.47 / $553.47	Professional		$553.47	$553.47	$553.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.47 / $648.89 / $2,175.69	Facility		$553.47	$648.89	$2,175.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $343.53 / $553.47	Professional		$343.53	$343.53	$553.47
United Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $160.31 / $381.70	Professional		$63.62	$160.31	$381.70