Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.52 / $1,120.91 / $4,165.37	Professional		$850.52	$1,120.91	$4,165.37
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 $1,274.01 / $1,274.01 / $1,274.01	Professional		$1,274.01	$1,274.01	$1,274.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,274.01 / $1,274.01 / $1,274.01	Facility		$1,274.01	$1,274.01	$1,274.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.06 / $1,274.01 / $1,329.29	Professional		$657.06	$1,274.01	$1,329.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.69 / $868.57 / $1,274.01	Facility		$631.69	$868.57	$1,274.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.99 / $1,274.01 / $1,661.80	Professional		$767.99	$1,274.01	$1,661.80
United Facility/Professional Professional Modifier Low / Median / High Price $804.57 / $1,285.20 / $1,468.80	Professional		$804.57	$1,285.20	$1,468.80