Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,850.20 / $3,850.20 / $3,850.20	Facility		$3,850.20	$3,850.20	$3,850.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $903.45 / $2,326.23	Professional		$312.25	$903.45	$2,326.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.31 / $1,806.89 / $2,710.34	Professional	50	$156.31	$1,806.89	$2,710.34
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 $571.02 / $571.02 / $3,140.08	Professional		$571.02	$571.02	$3,140.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.02 / $571.02 / $571.02	Facility		$571.02	$571.02	$571.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.24 / $1,476.04 / $3,139.55	Professional		$409.24	$1,476.04	$3,139.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.20 / $571.02 / $2,789.43	Facility		$398.20	$571.02	$2,789.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $490.68 / $1,956.91 / $4,408.47	Professional		$490.68	$1,956.91	$4,408.47
United Facility/Professional Professional Modifier Low / Median / High Price $2,776.13 / $3,231.18 / $3,565.43	Professional		$2,776.13	$3,231.18	$3,565.43