Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,604.00 / $3,604.00 / $3,604.00	Facility		$3,604.00	$3,604.00	$3,604.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $231.99 / $774.84	Professional		$121.84	$231.99	$774.84
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 $215.05 / $215.05 / $419.06	Professional		$215.05	$215.05	$419.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.05 / $215.05 / $215.05	Facility		$215.05	$215.05	$215.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $263.49 / $557.00	Professional		$134.22	$263.49	$557.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.25 / $215.05 / $435.79	Facility		$106.25	$215.05	$435.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.35 / $354.40 / $674.26	Professional		$183.35	$354.40	$674.26
United Facility/Professional Professional Modifier Low / Median / High Price $347.33 / $409.92 / $554.12	Professional		$347.33	$409.92	$554.12