Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,009.51 / $4,009.51 / $4,009.51	Facility		$4,009.51	$4,009.51	$4,009.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.75 / $587.91 / $2,149.67	Professional		$406.75	$587.91	$2,149.67
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 $528.27 / $528.27 / $572.52	Professional		$528.27	$528.27	$572.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.50 / $621.50 / $621.50	Facility		$621.50	$621.50	$621.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $559.35 / $673.55	Professional		$314.70	$559.35	$673.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.74 / $414.65 / $621.50	Facility		$308.74	$414.65	$621.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $399.85 / $615.77 / $859.65	Professional		$399.85	$615.77	$859.65
United Facility/Professional Professional Modifier Low / Median / High Price $482.88 / $649.23 / $751.74	Professional		$482.88	$649.23	$751.74