Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.64 / $1,051.95 / $3,953.27	Professional		$776.64	$1,051.95	$3,953.27
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 $1,043.92 / $1,043.92 / $1,043.92	Professional		$1,043.92	$1,043.92	$1,043.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,159.91 / $1,159.91 / $1,159.91	Facility		$1,159.91	$1,159.91	$1,159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.85 / $1,141.30 / $1,159.91	Professional		$583.85	$1,141.30	$1,159.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.99 / $789.24 / $1,159.91	Facility		$573.99	$789.24	$1,159.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $704.58 / $1,141.30 / $1,524.60	Professional		$704.58	$1,141.30	$1,524.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.44 / $1,208.47 / $1,424.27	Professional		$1,041.44	$1,208.47	$1,424.27