Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.53 / $1,267.23 / $4,680.55	Professional		$949.53	$1,267.23	$4,680.55
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 $1,427.55 / $1,427.55 / $1,427.55	Professional		$1,427.55	$1,427.55	$1,427.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.55 / $1,427.55 / $1,427.55	Facility		$1,427.55	$1,427.55	$1,427.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.55 / $1,427.55 / $1,436.96	Professional		$722.55	$1,427.55	$1,436.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.95 / $970.68 / $1,427.55	Facility		$705.95	$970.68	$1,427.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $860.19 / $1,427.55 / $1,861.30	Professional		$860.19	$1,427.55	$1,861.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,204.14 / $1,412.47 / $1,623.80	Professional		$1,204.14	$1,412.47	$1,623.80