Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.87 / $1,163.18 / $5,740.20	Professional		$942.87	$1,163.18	$5,740.20
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 $1,760.90 / $1,760.90 / $1,760.90	Professional		$1,760.90	$1,760.90	$1,760.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,760.90 / $1,760.90 / $1,760.90	Facility		$1,760.90	$1,760.90	$1,760.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.36 / $1,760.90 / $1,844.36	Professional		$921.36	$1,760.90	$1,844.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $872.36 / $1,199.50 / $1,760.90	Facility		$872.36	$1,199.50	$1,760.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,051.05 / $1,751.86 / $2,274.30	Professional		$1,051.05	$1,751.86	$2,274.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,483.79 / $1,796.64 / $2,080.31	Professional		$1,483.79	$1,796.64	$2,080.31