Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,106.88 / $4,106.88 / $4,106.88	Facility		$4,106.88	$4,106.88	$4,106.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $135.13 / $672.31	Professional		$55.53	$135.13	$672.31
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $642.53	Professional		$82.02	$82.02	$642.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $82.02 / $82.02	Facility		$82.02	$82.02	$82.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $91.96 / $642.53	Professional		$82.02	$91.96	$642.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.01 / $579.79 / $614.16	Facility		$51.01	$579.79	$614.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $399.35 / $699.88	Professional		$53.98	$399.35	$699.88
United Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $472.50 / $472.50	Facility		$472.50	$472.50	$472.50
United Facility/Professional Professional Modifier Low / Median / High Price $481.66 / $630.71 / $1,164.57	Professional		$481.66	$630.71	$1,164.57