Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.64 / $3,760.91 / $3,760.91	Professional		$672.64	$3,760.91	$3,760.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $783.77 / $91,999.99	Facility		$783.77	$783.77	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.77 / $783.77 / $783.77	Professional		$783.77	$783.77	$783.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.11 / $1,140.56 / $1,728.38	Facility		$848.11	$1,140.56	$1,728.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.38 / $839.94 / $848.11	Professional		$380.38	$839.94	$848.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.11 / $1,140.56 / $1,728.38	Facility		$848.11	$1,140.56	$1,728.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $584.90 / $848.11	Professional		$526.41	$584.90	$848.11
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $252.74 / $802.33	Professional		$245.66	$252.74	$802.33