Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.41 / $1,284.41 / $4,569.95	Professional		$948.41	$1,284.41	$4,569.95
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 $1,405.46 / $1,405.46 / $1,405.46	Professional		$1,405.46	$1,405.46	$1,405.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,405.46 / $1,405.46 / $1,405.46	Facility		$1,405.46	$1,405.46	$1,405.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.84 / $1,361.30 / $1,405.46	Professional		$705.84	$1,361.30	$1,405.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $687.35 / $945.11 / $1,405.46	Facility		$687.35	$945.11	$1,405.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $865.69 / $1,361.30 / $1,873.20	Professional		$865.69	$1,361.30	$1,873.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,161.35 / $1,380.48 / $1,573.43	Professional		$1,161.35	$1,380.48	$1,573.43