Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.97 / $1,055.48 / $3,970.01	Professional		$792.97	$1,055.48	$3,970.01
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,188.83 / $1,188.83 / $1,188.83	Facility		$1,188.83	$1,188.83	$1,188.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.36 / $1,160.51 / $1,188.83	Professional		$640.36	$1,160.51	$1,188.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.22 / $811.55 / $1,188.83	Facility		$590.22	$811.55	$1,188.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $718.49 / $1,160.51 / $1,554.70	Professional		$718.49	$1,160.51	$1,554.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.25 / $1,234.56 / $1,392.00	Professional		$1,022.25	$1,234.56	$1,392.00