Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.44 / $4,704.81 / $4,704.81	Professional		$874.44	$4,704.81	$4,704.81
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 $1,423.34 / $1,423.34 / $1,423.34	Facility		$1,423.34	$1,423.34	$1,423.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.42 / $1,423.34 / $1,477.22	Professional		$876.42	$1,423.34	$1,477.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.89 / $968.99 / $1,770.86	Facility		$799.89	$968.99	$1,770.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $862.45 / $1,423.34 / $1,745.66	Professional		$862.45	$1,423.34	$1,745.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,259.29 / $1,490.59 / $1,628.86	Professional		$1,259.29	$1,490.59	$1,628.86