Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.19 / $1,407.54 / $5,050.96	Professional		$871.19	$1,407.54	$5,050.96
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 $1,567.41 / $1,567.41 / $1,567.41	Professional		$1,567.41	$1,567.41	$1,567.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,567.41 / $1,567.41 / $1,567.41	Facility		$1,567.41	$1,567.41	$1,567.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.62 / $1,528.33 / $1,567.41	Professional		$791.62	$1,528.33	$1,567.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $768.82 / $1,057.11 / $1,567.41	Facility		$768.82	$1,057.11	$1,567.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.12 / $1,528.33 / $2,079.69	Professional		$961.12	$1,528.33	$2,079.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,294.84 / $1,515.25 / $1,746.12	Professional		$1,294.84	$1,515.25	$1,746.12