Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $472.80 / $853.12	Professional		$427.35	$472.80	$853.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.40 / $77,999.99 / $94,999.99	Facility		$611.40	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.06 / $437.06 / $953.14	Facility		$437.06	$437.06	$953.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $437.06	Professional		$392.06	$392.06	$437.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.06 / $437.06 / $953.14	Facility		$437.06	$437.06	$953.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $425.35 / $554.80	Professional		$392.06	$425.35	$554.80
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06