Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.74 / $683.88 / $1,058.98	Professional		$627.74	$683.88	$1,058.98
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 $1,205.13 / $1,205.13 / $1,205.13	Professional		$1,205.13	$1,205.13	$1,205.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,205.13 / $1,205.13 / $1,205.13	Facility		$1,205.13	$1,205.13	$1,205.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.75 / $1,205.13 / $1,252.46	Professional		$625.75	$1,205.13	$1,252.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.35 / $817.21 / $1,205.13	Facility		$597.35	$817.21	$1,205.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.32 / $1,205.13 / $1,567.30	Professional		$724.32	$1,205.13	$1,567.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.48 / $1,225.50 / $1,373.44	Professional		$1,018.48	$1,225.50	$1,373.44