Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $1,808.85 / $2,696.27	Professional		$158.83	$1,808.85	$2,696.27
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 $247.65 / $247.65 / $2,591.67	Professional		$247.65	$247.65	$2,591.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.65 / $247.65 / $247.65	Facility		$247.65	$247.65	$247.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.65 / $280.52 / $3,397.13	Professional		$247.65	$280.52	$3,397.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $1,521.63 / $3,781.72	Facility		$122.43	$1,521.63	$3,781.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $1,616.63 / $3,193.68	Professional		$162.63	$1,616.63	$3,193.68
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $759.86 / $759.86 / $759.86	Professional	80	$759.86	$759.86	$759.86
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $645.88 / $645.88 / $645.88	Professional	AS	$645.88	$645.88	$645.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.09 / $3,319.49 / $4,698.07	Professional		$2,784.09	$3,319.49	$4,698.07