Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $1,023.29	Facility		$389.05	$549.54	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $489.78	Professional		$354.81	$363.08	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,862.09 / $3,019.95	Facility		$851.14	$1,862.09	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $407.38	Professional		$316.23	$316.23	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $707.95	Facility		$354.81	$354.81	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $354.81	Professional		$338.84	$354.81	$354.81