Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $670.27 / $3,374.57	Professional		$223.78	$670.27	$3,374.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.66 / $956.66 / $956.66	Professional		$956.66	$956.66	$956.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $1,030.90 / $1,030.90	Facility		$736.58	$1,030.90	$1,030.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.58 / $1,030.90 / $1,030.90	Professional		$736.58	$1,030.90	$1,030.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.99 / $736.58 / $1,030.90	Facility		$394.99	$736.58	$1,030.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.25 / $647.79 / $1,030.90	Professional		$562.25	$647.79	$1,030.90
United Facility/Professional Professional Modifier Low / Median / High Price $502.71 / $534.05 / $847.02	Professional		$502.71	$534.05	$847.02