Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.93 / $2,081.91 / $5,692.28	Facility		$748.93	$2,081.91	$5,692.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $239.59 / $1,341.36	Professional		$71.70	$239.59	$1,341.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.58 / $215.58 / $593.10	Professional		$215.58	$215.58	$593.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.58 / $215.58 / $215.58	Facility		$215.58	$215.58	$215.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $380.98 / $768.64	Professional		$148.21	$380.98	$768.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.82 / $362.50 / $639.46	Facility		$138.82	$362.50	$639.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.02 / $404.01 / $955.98	Professional		$194.02	$404.01	$955.98
United Facility/Professional Professional Modifier Low / Median / High Price $499.61 / $597.84 / $767.26	Professional		$499.61	$597.84	$767.26