Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $3,549.59	Facility		$1,620.00	$1,620.00	$3,549.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $105.81 / $2,537.44	Professional		$101.92	$105.81	$2,537.44
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.01 / $153.01 / $153.01	Facility		$153.01	$153.01	$153.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $153.01 / $153.01	Professional		$148.57	$153.01	$153.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $94.30 / $153.01	Facility		$75.44	$94.30	$153.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $153.01 / $211.58	Professional		$107.40	$153.01	$211.58
United Facility/Professional Professional Modifier Low / Median / High Price $169.32 / $199.20 / $272.25	Professional		$169.32	$199.20	$272.25