Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,962.90 / $1,962.90 / $5,358.95	Facility		$1,962.90	$1,962.90	$5,358.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $389.47 / $1,600.27	Professional		$285.39	$389.47	$1,600.27
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 $417.43 / $491.10 / $689.85	Professional		$417.43	$491.10	$689.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.10 / $491.10 / $491.10	Facility		$491.10	$491.10	$491.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $482.12 / $691.42	Professional		$301.27	$482.12	$691.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.30 / $367.33 / $590.46	Facility		$243.30	$367.33	$590.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.51 / $573.33 / $832.30	Professional		$351.51	$573.33	$832.30
United Facility/Professional Professional Modifier Low / Median / High Price $576.69 / $687.12 / $784.73	Professional		$576.69	$687.12	$784.73