Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.65 / $971.66 / $3,435.10	Professional		$731.65	$971.66	$3,435.10
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 $986.66 / $986.66 / $986.66	Professional		$986.66	$986.66	$986.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.29 / $1,096.29 / $1,096.29	Facility		$1,096.29	$1,096.29	$1,096.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.15 / $1,096.29 / $1,164.00	Professional		$556.15	$1,096.29	$1,164.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $543.98 / $747.97 / $1,096.29	Facility		$543.98	$747.97	$1,096.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.53 / $1,096.29 / $1,433.60	Professional		$662.53	$1,096.29	$1,433.60
United Facility/Professional Professional Modifier Low / Median / High Price $898.62 / $1,098.90 / $1,198.72	Professional		$898.62	$1,098.90	$1,198.72