Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.91 / $598.91 / $698.23	Professional		$598.91	$598.91	$698.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,025.94 / $77,999.99 / $94,999.99	Facility		$1,025.94	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $657.24 / $657.24 / $1,583.22	Facility		$657.24	$657.24	$1,583.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $657.24	Professional		$593.00	$593.00	$657.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.24 / $657.24 / $1,583.22	Facility		$657.24	$657.24	$1,583.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $643.36 / $839.16	Professional		$593.00	$643.36	$839.16
United Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00