Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.72 / $1,238.36 / $4,631.39	Professional		$952.72	$1,238.36	$4,631.39
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.98 / $1,364.98 / $1,364.98	Facility		$1,364.98	$1,364.98	$1,364.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.26 / $1,364.98 / $1,482.35	Professional		$739.26	$1,364.98	$1,482.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $674.56 / $927.52 / $1,364.98	Facility		$674.56	$927.52	$1,364.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $856.95 / $1,364.98 / $1,854.30	Professional		$856.95	$1,364.98	$1,854.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.55 / $1,462.05 / $1,641.60	Professional		$1,205.55	$1,462.05	$1,641.60