Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.06 / $1,873.44 / $1,873.44	Professional		$335.06	$1,873.44	$1,873.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.42 / $64,999.99 / $94,999.99	Facility		$390.42	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.42 / $390.42 / $390.42	Professional		$390.42	$390.42	$390.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.47 / $495.31 / $1,660.75	Facility		$422.47	$495.31	$1,660.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $422.47 / $422.47	Professional		$137.44	$422.47	$422.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.47 / $495.31 / $1,660.75	Facility		$422.47	$495.31	$1,660.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $262.22 / $422.47	Professional		$262.22	$262.22	$422.47
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.37 / $291.36	Professional		$122.37	$122.37	$291.36