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 / $64,999.99 / $94,999.99	Facility		$783.77	$64,999.99	$94,999.99
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 / $994.33 / $3,333.93	Facility		$848.11	$994.33	$3,333.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.25 / $848.11 / $848.11	Professional		$341.25	$848.11	$848.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.11 / $994.33 / $3,333.93	Facility		$848.11	$994.33	$3,333.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $526.41 / $848.11	Professional		$526.41	$526.41	$848.11
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $584.90	Professional		$245.66	$245.66	$584.90