Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,094.75 / $2,094.75 / $2,094.75	Facility		$2,094.75	$2,094.75	$2,094.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $56.87 / $199.20	Professional		$24.51	$56.87	$199.20
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 $33.97 / $80.00 / $94.12	Professional		$33.97	$80.00	$94.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $39.96 / $39.96	Facility		$39.96	$39.96	$39.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $39.96 / $94.12	Professional		$33.97	$39.96	$94.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $39.96 / $90.48	Facility		$22.55	$39.96	$90.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $57.26 / $113.92	Professional		$33.97	$57.26	$113.92
United Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $101.47 / $112.45	Professional		$91.69	$101.47	$112.45