Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.94 / $378.94 / $378.94	Professional		$378.94	$378.94	$378.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.54 / $1,148.00 / $94,999.99	Facility		$441.54	$1,148.00	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.54 / $441.54 / $441.54	Professional		$441.54	$441.54	$441.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.79 / $477.79 / $477.79	Facility		$477.79	$477.79	$477.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $477.79 / $477.79	Professional		$160.59	$477.79	$477.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.79 / $477.79 / $477.79	Facility		$477.79	$477.79	$477.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $296.56 / $477.79	Professional		$296.56	$296.56	$477.79
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Facility		$329.51	$329.51	$329.51
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $329.51	Professional		$138.38	$138.38	$329.51