Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.77 / $3,727.92 / $3,727.92	Facility		$2,906.77	$3,727.92	$3,727.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $146.56 / $267.33	Professional		$69.16	$146.56	$267.33
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 $109.37 / $109.37 / $256.58	Professional		$109.37	$109.37	$256.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.37 / $109.37 / $109.37	Facility		$109.37	$109.37	$109.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $125.71 / $277.02	Professional		$109.37	$125.71	$277.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.89 / $286.64 / $303.60	Facility		$66.89	$286.64	$303.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $156.25 / $277.02	Professional		$72.55	$156.25	$277.02
United Facility/Professional Professional Modifier Low / Median / High Price $224.91 / $271.32 / $445.86	Professional		$224.91	$271.32	$445.86