Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.92 / $1,140.93 / $4,244.10	Professional		$859.92	$1,140.93	$4,244.10
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 $1,292.42 / $1,292.42 / $1,292.42	Professional		$1,292.42	$1,292.42	$1,292.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,292.42 / $1,292.42 / $1,292.42	Facility		$1,292.42	$1,292.42	$1,292.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.80 / $1,292.42 / $1,328.71	Professional		$654.80	$1,292.42	$1,328.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $642.12 / $882.92 / $1,292.42	Facility		$642.12	$882.92	$1,292.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $778.66 / $1,292.42 / $1,684.90	Professional		$778.66	$1,292.42	$1,684.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.29 / $1,316.70 / $1,475.49	Professional		$1,187.29	$1,316.70	$1,475.49