Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.40 / $396.50 / $1,699.71	Professional		$211.40	$396.50	$1,699.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.22 / $64,999.99 / $94,999.99	Facility		$354.22	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.22 / $354.22 / $354.22	Professional		$354.22	$354.22	$354.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.29 / $449.38 / $1,506.74	Facility		$383.29	$449.38	$1,506.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.46 / $383.29 / $383.29	Professional		$121.46	$383.29	$383.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.29 / $449.38 / $1,506.74	Facility		$383.29	$449.38	$1,506.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $237.91 / $383.29	Professional		$237.91	$237.91	$383.29
United Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $158.60 / $264.33	Professional		$144.46	$158.60	$264.33