Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.34 / $1,524.46 / $5,692.79	Professional		$1,163.34	$1,524.46	$5,692.79
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 $1,732.51 / $1,732.51 / $1,732.51	Professional		$1,732.51	$1,732.51	$1,732.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,732.51 / $1,732.51 / $1,732.51	Facility		$1,732.51	$1,732.51	$1,732.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.32 / $1,732.51 / $1,831.55	Professional		$912.32	$1,732.51	$1,831.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $857.29 / $1,178.77 / $1,732.51	Facility		$857.29	$1,178.77	$1,732.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.82 / $1,732.51 / $2,267.30	Professional		$1,047.82	$1,732.51	$2,267.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.55 / $1,794.36 / $2,014.71	Professional		$1,479.55	$1,794.36	$2,014.71