Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.90 / $1,198.90 / $1,198.90	Facility		$1,198.90	$1,198.90	$1,198.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.92 / $481.76 / $2,153.64	Professional		$371.92	$481.76	$2,153.64
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 $678.28 / $748.61 / $880.72	Professional		$678.28	$748.61	$880.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.28 / $678.28 / $678.28	Facility		$678.28	$678.28	$678.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.97 / $678.28 / $1,295.31	Professional		$416.97	$678.28	$1,295.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.50 / $543.54 / $924.72	Facility		$322.50	$543.54	$924.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.02 / $893.37 / $1,417.05	Professional		$541.02	$893.37	$1,417.05
United Facility/Professional Professional Modifier Low / Median / High Price $739.31 / $873.81 / $1,179.49	Professional		$739.31	$873.81	$1,179.49