Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,956.05 / $2,956.05 / $2,956.05	Facility		$2,956.05	$2,956.05	$2,956.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $501.22 / $2,461.00	Professional		$77.31	$501.22	$2,461.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $126.19 / $719.93	Professional		$126.19	$126.19	$719.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $126.19 / $126.19	Facility		$126.19	$126.19	$126.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $140.84 / $899.77	Professional		$126.19	$140.84	$899.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $126.19 / $358.29	Facility		$62.27	$126.19	$358.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $370.48 / $740.10	Professional		$84.82	$370.48	$740.10
United Facility/Professional Professional Modifier Low / Median / High Price $726.96 / $866.76 / $1,088.72	Professional		$726.96	$866.76	$1,088.72