Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.84 / $608.35 / $2,656.81	Professional		$362.84	$608.35	$2,656.81
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 $928.75 / $928.75 / $928.75	Professional		$928.75	$928.75	$928.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $998.59 / $998.59	Facility		$632.51	$998.59	$998.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.51 / $812.07 / $998.59	Professional		$632.51	$812.07	$998.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.38 / $951.04 / $998.59	Facility		$513.38	$951.04	$998.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.51 / $749.48 / $999.31	Professional		$632.51	$749.48	$999.31
United Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $459.39 / $702.98	Professional		$415.20	$459.39	$702.98