Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,694.70 / $1,694.70 / $26,342.02	Facility		$1,694.70	$1,694.70	$26,342.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $162.86 / $5,984.67	Professional		$80.66	$162.86	$5,984.67
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 $135.13 / $135.13 / $6,538.32	Professional		$135.13	$135.13	$6,538.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.13 / $135.13 / $135.13	Facility		$135.13	$135.13	$135.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $135.13 / $6,537.80	Professional		$113.80	$135.13	$6,537.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.13 / $135.13 / $135.13	Facility		$135.13	$135.13	$135.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $4,100.27 / $8,202.70	Professional		$90.43	$4,100.27	$8,202.70
United Facility/Professional Professional Modifier Low / Median / High Price $7,433.93 / $8,577.61 / $12,066.62	Professional		$7,433.93	$8,577.61	$12,066.62