Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.78 / $897.36 / $1,251.23	Professional		$815.78	$897.36	$1,251.23
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 $1,422.82 / $1,422.82 / $1,422.82	Professional		$1,422.82	$1,422.82	$1,422.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,422.81 / $1,422.81 / $1,422.81	Facility		$1,422.81	$1,422.81	$1,422.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.29 / $1,422.81 / $1,500.40	Professional		$746.29	$1,422.81	$1,500.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.45 / $968.62 / $1,422.81	Facility		$704.45	$968.62	$1,422.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $858.57 / $1,422.81 / $1,857.80	Professional		$858.57	$1,422.81	$1,857.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,193.41 / $1,445.91 / $2,220.51	Professional		$1,193.41	$1,445.91	$2,220.51