Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.94 / $1,287.20 / $4,804.80	Professional		$979.94	$1,287.20	$4,804.80
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 $1,462.25 / $1,462.25 / $1,462.25	Professional		$1,462.25	$1,462.25	$1,462.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,462.25 / $1,462.25 / $1,462.25	Facility		$1,462.25	$1,462.25	$1,462.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.65 / $1,462.25 / $1,546.96	Professional		$713.65	$1,462.25	$1,546.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.07 / $995.60 / $1,462.25	Facility		$724.07	$995.60	$1,462.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $883.16 / $1,462.25 / $1,911.00	Professional		$883.16	$1,462.25	$1,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.04 / $1,486.80 / $1,699.20	Professional		$1,087.04	$1,486.80	$1,699.20