Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.17 / $1,066.58 / $3,966.27	Professional		$807.17	$1,066.58	$3,966.27
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 $1,213.55 / $1,213.55 / $1,213.55	Professional		$1,213.55	$1,213.55	$1,213.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,213.55 / $1,213.55 / $1,213.55	Facility		$1,213.55	$1,213.55	$1,213.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.98 / $1,213.55 / $1,269.33	Professional		$580.98	$1,213.55	$1,269.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.87 / $752.50 / $1,213.55	Facility		$599.87	$752.50	$1,213.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.14 / $1,213.55 / $1,577.80	Professional		$709.14	$1,213.55	$1,577.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.54 / $1,218.56 / $1,396.49	Professional		$1,025.54	$1,218.56	$1,396.49