Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $770.82 / $770.82	Facility		$495.55	$770.82	$770.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $499.38 / $692.20	Professional		$495.55	$499.38	$692.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.65 / $2,473.82 / $4,031.06	Facility		$674.65	$2,473.82	$4,031.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.87 / $462.87 / $624.87	Professional		$462.87	$462.87	$624.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Facility		$495.55	$495.55	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.40 / $495.55 / $495.55	Facility		$484.40	$495.55	$495.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55