Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $490.29 / $3,844.56	Professional		$448.43	$490.29	$3,844.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $801.20 / $801.20 / $91,999.99	Facility		$801.20	$801.20	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.20 / $801.20 / $801.20	Professional		$801.20	$801.20	$801.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.97 / $1,165.92 / $1,766.82	Facility		$866.97	$1,165.92	$1,766.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.82 / $866.97 / $866.97	Professional		$686.82	$866.97	$866.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.97 / $1,165.92 / $1,766.82	Facility		$866.97	$1,165.92	$1,766.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $597.91 / $866.97	Professional		$538.12	$597.91	$866.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $251.12 / $597.91	Professional		$85.06	$251.12	$597.91