Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.07 / $1,655.40 / $1,655.40	Professional		$296.07	$1,655.40	$1,655.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.98 / $64,999.99 / $94,999.99	Facility		$344.98	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.98 / $344.98 / $344.98	Professional		$344.98	$344.98	$344.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.30 / $437.67 / $1,467.47	Facility		$373.30	$437.67	$1,467.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.92 / $373.30 / $373.30	Professional		$176.92	$373.30	$373.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.30 / $437.67 / $1,467.47	Facility		$373.30	$437.67	$1,467.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.71 / $231.71 / $373.30	Professional		$231.71	$231.71	$373.30
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $108.13 / $257.45	Professional		$108.13	$108.13	$257.45