Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,382.28 / $4,382.28 / $10,202.95	Facility		$4,382.28	$4,382.28	$10,202.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $250.37 / $1,180.51	Professional		$178.44	$250.37	$1,180.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.33 / $353.34 / $417.88	Professional		$300.33	$353.34	$417.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.34 / $353.34 / $353.34	Facility		$353.34	$353.34	$353.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.02 / $388.78 / $521.47	Professional		$351.02	$388.78	$521.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.67 / $300.69 / $640.25	Facility		$197.67	$300.69	$640.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $417.45 / $582.27	Professional		$289.70	$417.45	$582.27
United Facility/Professional Professional Modifier Low / Median / High Price $474.89 / $528.64 / $575.90	Professional		$474.89	$528.64	$575.90