Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,169.52 / $3,169.52 / $3,169.52	Facility		$3,169.52	$3,169.52	$3,169.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $748.79 / $2,827.20	Professional		$80.84	$748.79	$2,827.20
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.76 / $137.76 / $137.76	Facility		$137.76	$137.76	$137.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $158.88 / $1,353.73	Professional		$137.76	$158.88	$1,353.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $137.76 / $547.51	Facility		$68.22	$137.76	$547.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $572.04 / $1,140.01	Professional		$91.83	$572.04	$1,140.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,082.10 / $1,290.21 / $1,677.01	Professional		$1,082.10	$1,290.21	$1,677.01