Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $692.41 / $1,272.88	Professional		$578.48	$692.41	$1,272.88
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 $1,021.10 / $1,021.10 / $1,235.09	Professional		$1,021.10	$1,021.10	$1,235.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.10 / $1,021.10 / $1,021.10	Facility		$1,021.10	$1,021.10	$1,021.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.04 / $1,118.02 / $1,331.03	Professional		$845.04	$1,118.02	$1,331.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.24 / $764.18 / $1,503.56	Facility		$581.24	$764.18	$1,503.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $736.65 / $1,063.26 / $1,470.13	Professional		$736.65	$1,063.26	$1,470.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.34 / $1,342.25 / $1,441.89	Professional		$1,202.34	$1,342.25	$1,441.89