Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,646.04 / $4,646.04 / $4,646.04	Facility		$4,646.04	$4,646.04	$4,646.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $138.09 / $363.59	Professional		$53.96	$138.09	$363.59
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 $104.63 / $104.63 / $248.18	Professional		$104.63	$104.63	$248.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.63 / $104.63 / $104.63	Facility		$104.63	$104.63	$104.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $104.63 / $271.79	Professional		$103.01	$104.63	$271.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $261.30 / $280.83	Facility		$64.95	$261.30	$280.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $150.10 / $271.79	Professional		$69.75	$150.10	$271.79
United Facility/Professional Professional Modifier Low / Median / High Price $224.19 / $276.66 / $429.21	Professional		$224.19	$276.66	$429.21