Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.94 / $1,514.89 / $2,457.23	Professional		$1,399.94	$1,514.89	$2,457.23
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 $2,756.24 / $2,756.24 / $2,756.24	Professional		$2,756.24	$2,756.24	$2,756.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.24 / $2,756.24 / $2,756.24	Facility		$2,756.24	$2,756.24	$2,756.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.32 / $2,756.24 / $3,000.21	Professional		$1,393.32	$2,756.24	$3,000.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,364.18 / $1,875.75 / $3,082.17	Facility		$1,364.18	$1,875.75	$3,082.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,637.95 / $2,756.24 / $3,801.83	Professional		$1,637.95	$2,756.24	$3,801.83
United Facility/Professional Professional Modifier Low / Median / High Price $2,411.10 / $2,982.95 / $3,385.80	Professional		$2,411.10	$2,982.95	$3,385.80