Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,606.80 / $4,086.02 / $6,999.75	Facility		$2,606.80	$4,086.02	$6,999.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $131.59 / $500.99	Professional		$83.79	$131.59	$500.99
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 $123.80 / $145.65 / $250.81	Professional		$123.80	$145.65	$250.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.65 / $145.65 / $145.65	Facility		$145.65	$145.65	$145.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $161.21 / $250.81	Professional		$133.07	$161.21	$250.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $144.80 / $246.14	Facility		$82.34	$144.80	$246.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $178.06 / $300.44	Professional		$125.57	$178.06	$300.44
United Facility/Professional Professional Modifier Low / Median / High Price $232.65 / $264.32 / $287.95	Professional		$232.65	$264.32	$287.95