Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.35 / $1,097.15 / $4,123.99	Professional		$810.35	$1,097.15	$4,123.99
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 $1,210.39 / $1,210.39 / $1,210.39	Facility		$1,210.39	$1,210.39	$1,210.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.91 / $1,191.34 / $1,210.39	Professional		$630.91	$1,191.34	$1,210.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.54 / $824.37 / $1,210.39	Facility		$599.54	$824.37	$1,210.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.99 / $1,191.34 / $1,590.40	Professional		$734.99	$1,191.34	$1,590.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.91 / $1,261.68 / $1,427.95	Professional		$1,058.91	$1,261.68	$1,427.95