Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,903.97 / $4,903.97 / $4,903.97	Facility		$4,903.97	$4,903.97	$4,903.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $305.91 / $1,070.70	Professional		$199.38	$305.91	$1,070.70
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 $321.26 / $321.26 / $491.10	Professional		$321.26	$321.26	$491.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.26 / $321.26 / $321.26	Facility		$321.26	$321.26	$321.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.89 / $321.26 / $490.57	Professional		$223.89	$321.26	$490.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.26 / $519.35 / $571.15	Facility		$321.26	$519.35	$571.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.05 / $330.52 / $590.44	Professional		$212.05	$330.52	$590.44
United Facility/Professional Facility Modifier Low / Median / High Price $372.56 / $372.56 / $3,240.48	Facility		$372.56	$372.56	$3,240.48
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $527.46 / $868.57	Professional		$420.18	$527.46	$868.57