Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $2,840.17 / $3,124.19	Professional		$150.81	$2,840.17	$3,124.19
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 $266.05 / $266.05 / $266.05	Facility		$266.05	$266.05	$266.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.05 / $269.55 / $4,643.87	Professional		$266.05	$269.55	$4,643.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.49 / $266.05 / $2,306.98	Facility		$131.49	$266.05	$2,306.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $2,465.15 / $4,643.87	Professional		$173.15	$2,465.15	$4,643.87
United Facility/Professional Professional Modifier Low / Median / High Price $4,546.64 / $5,259.85 / $7,171.50	Professional		$4,546.64	$5,259.85	$7,171.50