Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.30 / $750.30 / $4,293.46	Professional		$750.30	$750.30	$4,293.46
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 $1,308.72 / $1,308.72 / $1,308.72	Professional		$1,308.72	$1,308.72	$1,308.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.72 / $1,308.72 / $1,308.72	Facility		$1,308.72	$1,308.72	$1,308.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.06 / $1,308.72 / $1,378.18	Professional		$685.06	$1,308.72	$1,378.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.42 / $891.59 / $1,308.72	Facility		$648.42	$891.59	$1,308.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $789.66 / $1,308.72 / $1,708.70	Professional		$789.66	$1,308.72	$1,708.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.91 / $1,327.19 / $1,502.10	Professional		$1,091.91	$1,327.19	$1,502.10