Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.97 / $4,831.75 / $4,831.75	Professional		$892.97	$4,831.75	$4,831.75
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 $1,458.04 / $1,458.04 / $1,458.04	Professional		$1,458.04	$1,458.04	$1,458.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,458.04 / $1,458.04 / $1,458.04	Facility		$1,458.04	$1,458.04	$1,458.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.77 / $1,458.04 / $1,535.26	Professional		$953.77	$1,458.04	$1,535.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.58 / $1,000.78 / $2,078.26	Facility		$812.58	$1,000.78	$2,078.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $877.33 / $1,458.04 / $1,787.10	Professional		$877.33	$1,458.04	$1,787.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,365.32 / $1,541.06 / $1,700.47	Professional		$1,365.32	$1,541.06	$1,700.47