Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.84 / $2,241.23 / $2,241.23	Professional		$400.84	$2,241.23	$2,241.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.07 / $64,999.99 / $94,999.99	Facility		$467.07	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.07 / $467.07 / $467.07	Professional		$467.07	$467.07	$467.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.41 / $592.54 / $1,986.79	Facility		$505.41	$592.54	$1,986.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.41 / $505.41 / $505.41	Professional		$505.41	$505.41	$505.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.41 / $592.54 / $1,986.79	Facility		$505.41	$592.54	$1,986.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $313.70 / $505.41	Professional		$313.70	$313.70	$505.41
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $146.40 / $348.56	Professional		$146.40	$146.40	$348.56