Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $1,585.12 / $1,585.12	Professional		$283.50	$1,585.12	$1,585.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.88 / $68,999.99 / $94,999.99	Facility		$858.88	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.45 / $419.08 / $1,405.16	Facility		$357.45	$419.08	$1,405.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.45 / $357.45 / $357.45	Professional		$357.45	$357.45	$357.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.45 / $419.08 / $1,405.16	Facility		$357.45	$419.08	$1,405.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $221.87 / $357.45	Professional		$221.87	$221.87	$357.45
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $246.52	Professional		$103.54	$103.54	$246.52