Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.21 / $668.50 / $4,349.89	Professional		$424.21	$668.50	$4,349.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $906.51 / $64,999.99 / $94,999.99	Facility		$906.51	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.51 / $906.51 / $906.51	Professional		$906.51	$906.51	$906.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $980.93 / $1,150.05 / $3,856.05	Facility		$980.93	$1,150.05	$3,856.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.93 / $980.93 / $980.93	Professional		$980.93	$980.93	$980.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $980.93 / $1,150.05 / $3,856.05	Facility		$980.93	$1,150.05	$3,856.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $608.85 / $980.93	Professional		$608.85	$608.85	$980.93
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $284.13 / $676.50	Professional		$284.13	$284.13	$676.50