Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.67 / $2,094.89 / $2,094.89	Professional		$374.67	$2,094.89	$2,094.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.57 / $68,099.99 / $94,999.99	Facility		$436.57	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.57 / $436.57 / $436.57	Professional		$436.57	$436.57	$436.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.41 / $635.30 / $962.74	Facility		$472.41	$635.30	$962.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $467.72 / $472.41	Professional		$79.27	$467.72	$472.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $472.41 / $635.30 / $962.74	Facility		$472.41	$635.30	$962.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.22 / $293.22 / $472.41	Professional		$293.22	$293.22	$472.41
United Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $136.84 / $325.80	Professional		$65.98	$136.84	$325.80