Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $227.90 / $404.82	Professional		$227.90	$227.90	$404.82
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 $425.78 / $425.78 / $425.78	Professional		$425.78	$425.78	$425.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $457.80 / $457.80	Facility		$237.10	$457.80	$457.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.10 / $372.28 / $457.80	Professional		$237.10	$372.28	$457.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.55 / $436.00 / $457.80	Facility		$211.55	$436.00	$457.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.10 / $343.60 / $458.14	Professional		$237.10	$343.60	$458.14
United Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $189.30 / $216.70	Professional		$171.09	$189.30	$216.70