Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,187.00 / $7,187.00 / $7,187.00	Facility		$7,187.00	$7,187.00	$7,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $115.29 / $626.24	Professional		$114.98	$115.29	$626.24
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 $188.76 / $188.76 / $188.76	Professional		$188.76	$188.76	$188.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $188.76 / $188.76	Facility		$188.76	$188.76	$188.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $188.76 / $204.86	Professional		$127.94	$188.76	$204.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $205.40 / $227.07	Facility		$92.80	$205.40	$227.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $168.88 / $243.60	Professional		$112.58	$168.88	$243.60
United Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $202.20 / $328.38	Professional		$161.16	$202.20	$328.38