Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.93 / $900.00 / $3,858.00	Professional		$453.93	$900.00	$3,858.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $804.00 / $64,999.99 / $94,999.99	Facility		$804.00	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.00 / $804.00 / $804.00	Professional		$804.00	$804.00	$804.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $1,020.00 / $3,420.00	Facility		$870.00	$1,020.00	$3,420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Professional		$870.00	$870.00	$870.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $1,020.00 / $3,420.00	Facility		$870.00	$1,020.00	$3,420.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $870.00	Professional		$540.00	$540.00	$870.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $252.00 / $600.00	Professional		$251.92	$252.00	$600.00