Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.28 / $981.04 / $1,687.47	Professional		$924.28	$981.04	$1,687.47
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 $1,695.18 / $1,695.18 / $1,695.18	Professional		$1,695.18	$1,695.18	$1,695.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,695.18 / $1,695.18 / $1,695.18	Facility		$1,695.18	$1,695.18	$1,695.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.45 / $1,695.18 / $1,789.07	Professional		$897.45	$1,695.18	$1,789.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $838.67 / $1,153.17 / $1,695.18	Facility		$838.67	$1,153.17	$1,695.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,025.17 / $1,695.18 / $2,218.30	Professional		$1,025.17	$1,695.18	$2,218.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.30 / $1,761.30 / $2,013.66	Professional		$1,452.30	$1,761.30	$2,013.66