Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,820.50 / $3,820.50 / $3,820.50	Facility		$3,820.50	$3,820.50	$3,820.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.75 / $561.03 / $2,308.08	Professional		$372.75	$561.03	$2,308.08
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 $694.58 / $764.04 / $954.33	Professional		$694.58	$764.04	$954.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.58 / $694.58 / $694.58	Facility		$694.58	$694.58	$694.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.94 / $673.45 / $1,013.84	Professional		$409.94	$673.45	$1,013.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.54 / $493.49 / $785.53	Facility		$343.54	$493.49	$785.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.42 / $804.51 / $1,207.94	Professional		$479.42	$804.51	$1,207.94
United Facility/Professional Professional Modifier Low / Median / High Price $734.87 / $983.91 / $1,152.34	Professional		$734.87	$983.91	$1,152.34