Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.75 / $934.82 / $3,473.75	Professional		$708.75	$934.82	$3,473.75
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 $1,063.17 / $1,063.17 / $1,063.17	Professional		$1,063.17	$1,063.17	$1,063.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,063.17 / $1,063.17 / $1,063.17	Facility		$1,063.17	$1,063.17	$1,063.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.03 / $1,063.17 / $1,109.86	Professional		$552.03	$1,063.17	$1,109.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.61 / $724.09 / $1,063.17	Facility		$526.61	$724.09	$1,063.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $640.21 / $1,063.17 / $1,385.30	Professional		$640.21	$1,063.17	$1,385.30
United Facility/Professional Professional Modifier Low / Median / High Price $898.63 / $1,084.15 / $1,223.67	Professional		$898.63	$1,084.15	$1,223.67