Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $357.89 / $410.42	Professional		$328.34	$357.89	$410.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,003.62 / $68,999.99 / $94,999.99	Facility		$3,003.62	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.19 / $354.19 / $3,255.62	Facility		$354.19	$354.19	$3,255.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $464.63	Professional		$328.34	$328.34	$464.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $397.29 / $1,652.60	Facility		$328.34	$397.29	$1,652.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $406.00 / $1,048.08	Professional		$328.34	$406.00	$1,048.08
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $328.34	Professional		$328.34	$328.34	$328.34