Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,895.30 / $2,895.30 / $8,777.56	Facility		$2,895.30	$2,895.30	$8,777.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.04 / $1,373.46 / $2,155.44	Professional		$279.04	$1,373.46	$2,155.44
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 $454.82 / $454.82 / $454.82	Professional		$454.82	$454.82	$454.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.82 / $454.82 / $454.82	Facility		$454.82	$454.82	$454.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.46 / $454.82 / $2,091.11	Professional		$394.46	$454.82	$2,091.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.82 / $454.82 / $454.82	Facility		$454.82	$454.82	$454.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.18 / $1,286.69 / $2,569.91	Professional		$303.18	$1,286.69	$2,569.91
United Facility/Professional Professional Modifier Low / Median / High Price $2,140.96 / $2,575.81 / $3,780.47	Professional		$2,140.96	$2,575.81	$3,780.47