Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.59 / $615.59 / $677.15	Professional		$615.59	$615.59	$677.15
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 $880.74 / $880.74 / $880.74	Professional		$880.74	$880.74	$880.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $949.16 / $949.16	Facility		$636.97	$949.16	$949.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.97 / $949.16 / $949.16	Professional		$636.97	$949.16	$949.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.78 / $636.97 / $949.16	Facility		$476.78	$636.97	$949.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.90 / $679.05 / $949.16	Professional		$605.90	$679.05	$949.16
United Facility/Professional Professional Modifier Low / Median / High Price $406.22 / $481.81 / $769.49	Professional		$406.22	$481.81	$769.49