Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.61 / $853.61 / $853.61	Professional		$853.61	$853.61	$853.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,586.06 / $77,999.99 / $94,999.99	Facility		$2,586.06	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.29 / $1,076.29 / $1,076.29	Facility		$1,076.29	$1,076.29	$1,076.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.29 / $1,076.29 / $1,076.29	Professional		$1,076.29	$1,076.29	$1,076.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,076.29 / $1,076.29 / $1,076.29	Facility		$1,076.29	$1,076.29	$1,076.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $668.04 / $1,076.29	Professional		$668.04	$668.04	$1,076.29
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $742.27	Professional		$311.75	$311.75	$742.27