Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,192.20 / $4,192.20 / $4,192.20	Facility		$4,192.20	$4,192.20	$4,192.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $265.07 / $602.80	Professional		$167.25	$265.07	$602.80
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 $270.79 / $270.79 / $584.16	Professional		$270.79	$270.79	$584.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.79 / $270.79 / $270.79	Facility		$270.79	$270.79	$270.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.79 / $318.94 / $616.91	Professional		$270.79	$318.94	$616.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $692.25 / $734.97	Facility		$166.38	$692.25	$734.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $365.88 / $616.91	Professional		$179.81	$365.88	$616.91
United Facility/Professional Professional Modifier Low / Median / High Price $540.79 / $629.65 / $1,026.75	Professional		$540.79	$629.65	$1,026.75