Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,295.70 / $4,295.70 / $4,295.70	Facility		$4,295.70	$4,295.70	$4,295.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $121.65 / $230.89	Professional		$63.84	$121.65	$230.89
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $108.31 / $108.31	Facility		$108.31	$108.31	$108.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $115.82 / $235.13	Professional		$108.31	$115.82	$235.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $228.80 / $259.33	Facility		$67.19	$228.80	$259.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $138.60 / $235.13	Professional		$69.40	$138.60	$235.13
United Facility/Professional Professional Modifier Low / Median / High Price $204.16 / $237.77 / $394.98	Professional		$204.16	$237.77	$394.98