Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $1,909.19 / $1,909.19	Professional		$260.74	$1,909.19	$1,909.19
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 $669.32 / $669.32 / $669.32	Professional		$669.32	$669.32	$669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $719.65 / $719.65	Facility		$419.48	$719.65	$719.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.48 / $585.24 / $719.65	Professional		$419.48	$585.24	$719.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.66 / $685.38 / $719.65	Facility		$337.66	$685.38	$719.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.48 / $540.14 / $720.18	Professional		$419.48	$540.14	$720.18
United Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $302.14 / $462.37	Professional		$273.08	$302.14	$462.37