Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.73 / $1,760.75 / $6,564.09	Professional		$1,338.73	$1,760.75	$6,564.09
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 $2,005.40 / $2,005.40 / $2,005.40	Professional		$2,005.40	$2,005.40	$2,005.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,005.40 / $2,005.40 / $2,005.40	Facility		$2,005.40	$2,005.40	$2,005.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.76 / $2,005.40 / $2,102.77	Professional		$1,045.76	$2,005.40	$2,102.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.97 / $1,354.19 / $2,005.40	Facility		$993.97	$1,354.19	$2,005.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,207.63 / $2,005.40 / $2,613.10	Professional		$1,207.63	$2,005.40	$2,613.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,576.29 / $1,576.29 / $25,733.64	Facility		$1,576.29	$1,576.29	$25,733.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,560.47 / $2,064.54 / $2,390.53	Professional		$1,560.47	$2,064.54	$2,390.53