Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.40 / $1,325.29 / $4,951.51	Professional		$951.40	$1,325.29	$4,951.51
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 $1,504.31 / $1,504.31 / $1,504.31	Professional		$1,504.31	$1,504.31	$1,504.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.31 / $1,504.31 / $1,504.31	Facility		$1,504.31	$1,504.31	$1,504.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.97 / $1,504.31 / $1,593.52	Professional		$792.97	$1,504.31	$1,593.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.71 / $1,023.98 / $1,504.31	Facility		$744.71	$1,023.98	$1,504.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $910.01 / $1,504.31 / $1,969.10	Professional		$910.01	$1,504.31	$1,969.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,182.58 / $1,182.58 / $14,287.46	Facility		$1,182.58	$1,182.58	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,287.32 / $1,584.56 / $1,752.95	Professional		$1,287.32	$1,584.56	$1,752.95