Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.57 / $640.37 / $3,336.20	Professional		$546.57	$640.37	$3,336.20
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 $1,020.05 / $1,020.05 / $1,020.05	Professional		$1,020.05	$1,020.05	$1,020.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.05 / $1,020.05 / $1,020.05	Facility		$1,020.05	$1,020.05	$1,020.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.17 / $1,020.05 / $1,070.30	Professional		$531.17	$1,020.05	$1,070.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.20 / $691.02 / $1,020.05	Facility		$506.20	$691.02	$1,020.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $612.05 / $1,020.05 / $1,324.40	Professional		$612.05	$1,020.05	$1,324.40
United Facility/Professional Professional Modifier Low / Median / High Price $820.14 / $1,027.58 / $1,211.08	Professional		$820.14	$1,027.58	$1,211.08