Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.57 / $267.24 / $1,402.71	Professional		$191.57	$267.24	$1,402.71
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 $491.75 / $491.75 / $491.75	Professional		$491.75	$491.75	$491.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $528.73 / $528.73	Facility		$278.04	$528.73	$528.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.04 / $528.73 / $528.73	Professional		$278.04	$528.73	$528.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $503.55 / $528.73	Facility		$278.04	$503.55	$528.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.04 / $396.84 / $529.12	Professional		$278.04	$396.84	$529.12
United Facility/Professional Facility Modifier Low / Median / High Price $277.49 / $290.45 / $290.45	Facility		$277.49	$290.45	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $221.99 / $352.07	Professional		$200.63	$221.99	$352.07