Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,342.00 / $2,342.00 / $2,342.00	Facility		$2,342.00	$2,342.00	$2,342.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $273.31 / $1,228.40	Professional		$200.71	$273.31	$1,228.40
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 $334.75 / $393.82 / $506.35	Professional		$334.75	$393.82	$506.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.82 / $393.82 / $393.82	Facility		$393.82	$393.82	$393.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.81 / $411.47 / $516.82	Professional		$295.81	$411.47	$516.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.13 / $311.36 / $542.03	Facility		$219.13	$311.36	$542.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.81 / $428.45 / $601.51	Professional		$295.81	$428.45	$601.51
United Facility/Professional Professional Modifier Low / Median / High Price $444.87 / $526.05 / $574.85	Professional		$444.87	$526.05	$574.85