Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,919.12 / $13,048.07 / $14,297.50	Facility		$12,919.12	$13,048.07	$14,297.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,539.34 / $27,429.14	Professional		$1,291.35	$1,539.34	$27,429.14
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $198.61 / $786.90 / $786.90	Professional	AS	$198.61	$786.90	$786.90
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 $2,283.55 / $2,283.55 / $2,283.55	Professional		$2,283.55	$2,283.55	$2,283.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.55 / $2,283.55 / $2,283.55	Facility		$2,283.55	$2,283.55	$2,283.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.94 / $2,283.55 / $2,447.31	Professional		$1,253.94	$2,283.55	$2,447.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.40 / $1,552.93 / $2,283.55	Facility		$1,129.40	$1,552.93	$2,283.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,385.55 / $2,283.55 / $2,998.10	Professional		$1,385.55	$2,283.55	$2,998.10
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $368.42 / $377.08 / $523.37	Professional	AS	$368.42	$377.08	$523.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,892.43 / $2,421.65 / $2,686.71	Professional		$1,892.43	$2,421.65	$2,686.71