Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,206.80	Facility		$1,206.80	$1,206.80	$1,206.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $158.75 / $869.00	Professional		$79.67	$158.75	$869.00
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 $183.24 / $215.58 / $284.45	Professional		$183.24	$215.58	$284.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.58 / $215.58 / $215.58	Facility		$215.58	$215.58	$215.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $225.23 / $288.67	Professional		$174.91	$225.23	$288.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $174.20 / $302.20	Facility		$121.69	$174.20	$302.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $240.35 / $338.92	Professional		$171.63	$240.35	$338.92
United Facility/Professional Professional Modifier Low / Median / High Price $251.72 / $296.38 / $323.87	Professional		$251.72	$296.38	$323.87