Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $534.54 / $634.05	Professional		$529.25	$534.54	$634.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,095.04 / $77,999.99 / $94,999.99	Facility		$1,095.04	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.67 / $614.67 / $3,445.53	Facility		$614.67	$614.67	$3,445.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $614.67	Professional		$529.26	$529.26	$614.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $614.67 / $614.67 / $3,445.53	Facility		$614.67	$614.67	$3,445.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $574.20 / $748.95	Professional		$529.26	$574.20	$748.95
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26