Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $738.13 / $4,127.10	Professional		$287.83	$738.13	$4,127.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $860.08 / $3,955.39 / $94,999.99	Facility		$860.08	$3,955.39	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.08 / $860.08 / $860.08	Professional		$860.08	$860.08	$860.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.68 / $1,091.15 / $3,658.55	Facility		$930.68	$1,091.15	$3,658.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.68 / $930.68 / $930.68	Professional		$930.68	$930.68	$930.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $930.68 / $1,091.15 / $3,658.55	Facility		$930.68	$1,091.15	$3,658.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.66 / $577.66 / $930.68	Professional		$577.66	$577.66	$930.68
United Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $269.58 / $641.85	Professional		$120.71	$269.58	$641.85