Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.25 / $1,238.16 / $4,607.45	Professional		$802.25	$1,238.16	$4,607.45
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 $1,408.09 / $1,408.09 / $1,408.09	Professional		$1,408.09	$1,408.09	$1,408.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.09 / $1,408.09 / $1,408.09	Facility		$1,408.09	$1,408.09	$1,408.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.35 / $1,408.09 / $1,474.21	Professional		$733.35	$1,408.09	$1,474.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.75 / $958.03 / $1,408.09	Facility		$696.75	$958.03	$1,408.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $848.54 / $1,408.09 / $1,836.10	Professional		$848.54	$1,408.09	$1,836.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.27 / $1,440.38 / $1,626.24	Professional		$1,194.27	$1,440.38	$1,626.24