Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.62 / $664.12 / $1,237.46	Professional		$603.62	$664.12	$1,237.46
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 $1,209.33 / $1,209.33 / $1,209.33	Professional		$1,209.33	$1,209.33	$1,209.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,209.33 / $1,209.33 / $1,209.33	Facility		$1,209.33	$1,209.33	$1,209.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.13 / $1,170.40 / $1,209.33	Professional		$589.13	$1,170.40	$1,209.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $591.47 / $813.27 / $1,209.33	Facility		$591.47	$813.27	$1,209.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.43 / $1,170.40 / $1,606.50	Professional		$742.43	$1,170.40	$1,606.50
United Facility/Professional Professional Modifier Low / Median / High Price $980.42 / $1,168.16 / $1,322.10	Professional		$980.42	$1,168.16	$1,322.10