Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.29 / $734.37 / $1,153.78	Professional		$672.29	$734.37	$1,153.78
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 $1,310.82 / $1,310.82 / $1,310.82	Professional		$1,310.82	$1,310.82	$1,310.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,310.82 / $1,310.82 / $1,310.82	Facility		$1,310.82	$1,310.82	$1,310.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.30 / $1,310.82 / $1,353.15	Professional		$671.30	$1,310.82	$1,353.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $650.14 / $838.65 / $1,310.82	Facility		$650.14	$838.65	$1,310.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $786.75 / $1,310.82 / $1,702.40	Professional		$786.75	$1,310.82	$1,702.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.43 / $1,308.15 / $1,480.55	Professional		$1,188.43	$1,308.15	$1,480.55