Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.08 / $769.90 / $3,678.08	Professional		$632.08	$769.90	$3,678.08
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 $1,136.78 / $1,136.78 / $1,136.78	Professional		$1,136.78	$1,136.78	$1,136.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,136.78 / $1,136.78 / $1,136.78	Facility		$1,136.78	$1,136.78	$1,136.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.84 / $1,117.44 / $1,136.78	Professional		$568.84	$1,117.44	$1,136.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.26 / $768.98 / $1,136.78	Facility		$559.26	$768.98	$1,136.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.94 / $1,117.44 / $1,523.20	Professional		$703.94	$1,117.44	$1,523.20
United Facility/Professional Professional Modifier Low / Median / High Price $932.95 / $1,107.79 / $1,258.08	Professional		$932.95	$1,107.79	$1,258.08