Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.64 / $476.43 / $2,604.13	Professional		$355.64	$476.43	$2,604.13
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 $727.19 / $727.19 / $727.19	Professional		$727.19	$727.19	$727.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $781.87 / $781.87	Facility		$488.53	$781.87	$781.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.53 / $781.87 / $781.87	Professional		$488.53	$781.87	$781.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $744.64 / $781.87	Facility		$488.53	$744.64	$781.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $488.53 / $586.83 / $815.04	Professional		$488.53	$586.83	$815.04
United Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $359.77 / $568.97	Professional		$325.16	$359.77	$568.97