Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,135.89 / $4,135.89 / $4,135.89	Facility		$4,135.89	$4,135.89	$4,135.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $440.56 / $1,591.67	Professional		$84.54	$440.56	$1,591.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Professional		$136.18	$136.18	$136.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Facility		$136.18	$136.18	$136.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $979.40 / $2,276.21	Professional		$107.19	$979.40	$2,276.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $136.18 / $1,247.23	Facility		$84.17	$136.18	$1,247.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $1,039.23 / $2,276.21	Professional		$125.69	$1,039.23	$2,276.21
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $298.87 / $417.47 / $515.11	Professional	80	$298.87	$417.47	$515.11
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $254.04 / $354.85 / $437.85	Professional	AS	$254.04	$354.85	$437.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,697.79 / $2,109.91 / $2,548.48	Professional		$1,697.79	$2,109.91	$2,548.48