Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,626.00 / $10,713.51 / $33,148.00	Facility		$4,626.00	$10,713.51	$33,148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.34 / $24,127.81 / $40,111.16	Professional		$1,243.34	$24,127.81	$40,111.16
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $209.10 / $567.97 / $34,686.00	Professional	AS	$209.10	$567.97	$34,686.00
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 $2,031.17 / $2,031.17 / $2,031.17	Professional		$2,031.17	$2,031.17	$2,031.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,031.17 / $2,031.17 / $2,031.17	Facility		$2,031.17	$2,031.17	$2,031.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.45 / $2,031.17 / $2,280.28	Professional		$1,209.45	$2,031.17	$2,280.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.13 / $1,382.05 / $2,123.12	Facility		$1,005.13	$1,382.05	$2,123.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,229.95 / $2,031.17 / $2,738.40	Professional		$1,229.95	$2,031.17	$2,738.40
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $327.05 / $351.50 / $464.59	Professional	AS	$327.05	$351.50	$464.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,947.70 / $2,268.39 / $2,509.42	Professional		$1,947.70	$2,268.39	$2,509.42