Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.16 / $1,901.93 / $1,901.93	Professional		$340.16	$1,901.93	$1,901.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $64,999.99 / $94,999.99	Facility		$396.36	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.36 / $396.36 / $396.36	Professional		$396.36	$396.36	$396.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.90 / $502.84 / $1,686.00	Facility		$428.90	$502.84	$1,686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $428.90 / $428.90	Professional		$140.51	$428.90	$428.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.90 / $502.84 / $1,686.00	Facility		$428.90	$502.84	$1,686.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $266.20 / $428.90	Professional		$266.20	$266.20	$428.90
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $295.79	Professional		$124.23	$124.23	$295.79