Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.32 / $1,315.91 / $4,902.71	Professional		$1,001.32	$1,315.91	$4,902.71
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 $1,494.85 / $1,494.85 / $1,494.85	Professional		$1,494.85	$1,494.85	$1,494.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.85 / $1,494.85 / $1,494.85	Facility		$1,494.85	$1,494.85	$1,494.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.57 / $1,494.85 / $1,553.94	Professional		$750.57	$1,494.85	$1,553.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.60 / $1,018.33 / $1,494.85	Facility		$740.60	$1,018.33	$1,494.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $902.89 / $1,494.85 / $1,953.70	Professional		$902.89	$1,494.85	$1,953.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.29 / $1,527.04 / $1,732.48	Professional		$1,272.29	$1,527.04	$1,732.48