Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.36 / $12,879.63 / $12,879.63	Facility		$1,875.36	$12,879.63	$12,879.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $137.25 / $603.00	Professional		$55.93	$137.25	$603.00
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 $88.86 / $88.86 / $293.92	Professional		$88.86	$88.86	$293.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $88.86 / $88.86	Facility		$88.86	$88.86	$88.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $141.34 / $350.21	Professional		$63.63	$141.34	$350.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.73 / $147.22 / $254.90	Facility		$57.73	$147.22	$254.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $183.42 / $472.91	Professional		$79.59	$183.42	$472.91
United Facility/Professional Professional Modifier Low / Median / High Price $215.32 / $288.85 / $518.00	Professional		$215.32	$288.85	$518.00