Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.73 / $448.39 / $2,105.76	Facility		$406.73	$448.39	$2,105.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $241.06 / $1,691.03	Professional		$170.94	$241.06	$1,691.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.41 / $64,999.99 / $94,999.99	Facility		$352.41	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.41 / $352.41 / $352.41	Professional		$352.41	$352.41	$352.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.34 / $447.08 / $1,499.04	Facility		$381.34	$447.08	$1,499.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $381.34 / $381.34	Professional		$138.13	$381.34	$381.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.34 / $447.08 / $1,499.04	Facility		$381.34	$447.08	$1,499.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $236.69 / $381.34	Professional		$236.69	$236.69	$381.34
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $110.46 / $262.99	Professional		$110.46	$110.46	$262.99