Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.25 / $940.13 / $4,864.17	Professional		$804.25	$940.13	$4,864.17
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 $1,479.60 / $1,479.60 / $1,479.60	Professional		$1,479.60	$1,479.60	$1,479.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.60 / $1,479.60 / $1,479.60	Facility		$1,479.60	$1,479.60	$1,479.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.23 / $1,479.60 / $1,568.49	Professional		$780.23	$1,479.60	$1,568.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.62 / $1,008.72 / $1,479.60	Facility		$733.62	$1,008.72	$1,479.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.21 / $1,479.60 / $1,930.60	Professional		$892.21	$1,479.60	$1,930.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,262.89 / $1,504.72 / $1,703.02	Professional		$1,262.89	$1,504.72	$1,703.02