Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.98 / $3,980.51 / $4,614.02	Professional		$728.98	$3,980.51	$4,614.02
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,195.14 / $1,195.14 / $1,195.14	Facility		$1,195.14	$1,195.14	$1,195.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.02 / $1,227.44 / $1,395.05	Professional		$929.02	$1,227.44	$1,395.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.38 / $887.17 / $1,701.07	Facility		$673.38	$887.17	$1,701.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.16 / $1,201.33 / $1,676.39	Professional		$817.16	$1,201.33	$1,676.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.72 / $1,475.59 / $1,585.13	Professional		$1,295.72	$1,475.59	$1,585.13