Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.84 / $1,287.84 / $1,287.84	Facility		$1,287.84	$1,287.84	$1,287.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $470.06 / $587.46	Professional		$85.26	$470.06	$587.46
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 $137.22 / $137.22 / $368.59	Professional		$137.22	$137.22	$368.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $137.22 / $137.22	Facility		$137.22	$137.22	$137.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $150.16 / $368.59	Professional		$137.22	$150.16	$368.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $137.22 / $222.07	Facility		$67.42	$137.22	$222.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $224.13 / $388.76	Professional		$91.83	$224.13	$388.76
United Facility/Professional Professional Modifier Low / Median / High Price $313.49 / $401.20 / $1,082.24	Professional		$313.49	$401.20	$1,082.24