Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.00 / $1,217.00 / $1,217.00	Facility		$1,217.00	$1,217.00	$1,217.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $383.17 / $1,416.36	Professional		$247.52	$383.17	$1,416.36
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 $421.17 / $463.28 / $638.85	Professional		$421.17	$463.28	$638.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.17 / $421.17 / $421.17	Facility		$421.17	$421.17	$421.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $421.17 / $693.74	Professional		$254.13	$421.17	$693.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.12 / $338.30 / $538.21	Facility		$208.12	$338.30	$538.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.57 / $491.45 / $819.50	Professional		$316.57	$491.45	$819.50
United Facility/Professional Professional Modifier Low / Median / High Price $560.24 / $677.17 / $786.72	Professional		$560.24	$677.17	$786.72