Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.81 / $1,683.03 / $9,141.49	Professional		$1,421.81	$1,683.03	$9,141.49
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 $2,666.86 / $2,666.86 / $2,666.86	Professional		$2,666.86	$2,666.86	$2,666.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,666.86 / $2,666.86 / $2,666.86	Facility		$2,666.86	$2,666.86	$2,666.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.66 / $2,666.86 / $3,026.40	Professional		$1,366.66	$2,666.86	$3,026.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,321.06 / $1,721.37 / $2,666.86	Facility		$1,321.06	$1,721.37	$2,666.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,626.56 / $2,666.86 / $3,544.10	Professional		$1,626.56	$2,666.86	$3,544.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,322.73 / $2,816.94 / $3,162.88	Professional		$2,322.73	$2,816.94	$3,162.88