Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.60 / $3,240.72 / $3,240.72	Professional		$579.60	$3,240.72	$3,240.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.36 / $675.36 / $91,999.99	Facility		$675.36	$675.36	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.36 / $675.36 / $675.36	Professional		$675.36	$675.36	$675.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $982.80 / $1,489.32	Facility		$730.80	$982.80	$1,489.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.03 / $730.80 / $730.80	Professional		$579.03	$730.80	$730.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $982.80 / $1,489.32	Facility		$730.80	$982.80	$1,489.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $504.00 / $730.80	Professional		$453.60	$504.00	$730.80
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $211.68 / $504.00	Professional		$211.68	$211.68	$504.00