Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.37 / $2,628.53 / $4,375.97	Professional		$434.37	$2,628.53	$4,375.97
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 $675.13 / $675.13 / $4,242.68	Professional		$675.13	$675.13	$4,242.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.13 / $675.13 / $675.13	Facility		$675.13	$675.13	$675.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.74 / $675.13 / $4,242.68	Professional		$598.74	$675.13	$4,242.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.13 / $675.13 / $675.13	Facility		$675.13	$675.13	$675.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $452.15 / $2,619.02 / $5,208.97	Professional		$452.15	$2,619.02	$5,208.97
United Facility/Professional Professional Modifier Low / Median / High Price $4,506.34 / $5,656.92 / $7,662.70	Professional		$4,506.34	$5,656.92	$7,662.70