Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.25 / $797.93 / $3,939.28	Professional		$717.25	$797.93	$3,939.28
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 $1,207.24 / $1,207.24 / $1,207.24	Professional		$1,207.24	$1,207.24	$1,207.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.24 / $1,207.24 / $1,207.24	Facility		$1,207.24	$1,207.24	$1,207.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.99 / $1,207.24 / $1,255.36	Professional		$636.99	$1,207.24	$1,255.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $598.14 / $822.44 / $1,207.24	Facility		$598.14	$822.44	$1,207.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.70 / $1,204.57 / $1,563.80	Professional		$722.70	$1,204.57	$1,563.80
United Facility/Professional Professional Modifier Low / Median / High Price $974.39 / $1,230.61 / $1,381.75	Professional		$974.39	$1,230.61	$1,381.75