Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,779.28 / $4,331.27 / $5,120.80	Facility		$1,779.28	$4,331.27	$5,120.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $611.95 / $2,888.00	Professional		$158.78	$611.95	$2,888.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $251.86 / $780.81	Professional		$251.86	$251.86	$780.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.86 / $251.86 / $251.86	Facility		$251.86	$251.86	$251.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $281.69 / $1,097.65	Professional		$251.86	$281.69	$1,097.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.54 / $251.86 / $470.73	Facility		$124.54	$251.86	$470.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.59 / $477.74 / $954.52	Professional		$168.59	$477.74	$954.52
United Facility/Professional Professional Modifier Low / Median / High Price $901.68 / $1,099.00 / $1,404.15	Professional		$901.68	$1,099.00	$1,404.15