Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,725.83 / $6,090.61 / $9,139.00	Facility		$4,725.83	$6,090.61	$9,139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $138.24 / $558.44	Professional		$84.03	$138.24	$558.44
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 $114.62 / $114.62 / $175.62	Professional		$114.62	$114.62	$175.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.62 / $114.62 / $114.62	Facility		$114.62	$114.62	$114.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $168.20 / $264.23	Professional		$114.62	$168.20	$264.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $106.90 / $257.39	Facility		$65.45	$106.90	$257.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $142.44 / $218.21	Professional		$100.37	$142.44	$218.21
United Facility/Professional Professional Modifier Low / Median / High Price $181.44 / $204.96 / $253.45	Professional		$181.44	$204.96	$253.45