Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.03 / $945.38 / $1,783.19	Professional		$733.03	$945.38	$1,783.19
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 $1,096.32 / $1,289.79 / $1,578.98	Professional		$1,096.32	$1,289.79	$1,578.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,289.79 / $1,289.79 / $1,289.79	Facility		$1,289.79	$1,289.79	$1,289.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.32 / $1,385.16 / $1,671.50	Professional		$1,096.32	$1,385.16	$1,671.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $974.88 / $1,848.83	Facility		$727.00	$974.88	$1,848.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $943.47 / $1,342.13 / $1,868.79	Professional		$943.47	$1,342.13	$1,868.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,474.72 / $1,673.24 / $1,797.45	Professional		$1,474.72	$1,673.24	$1,797.45