Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,703.52 / $1,703.52 / $4,542.21	Facility		$1,703.52	$1,703.52	$4,542.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $230.72 / $765.03	Professional		$143.96	$230.72	$765.03
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 $221.89 / $221.89 / $451.77	Professional		$221.89	$221.89	$451.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.89 / $221.89 / $221.89	Facility		$221.89	$221.89	$221.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $289.99 / $376.47	Professional		$221.89	$289.99	$376.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $422.50 / $440.85	Facility		$135.97	$422.50	$440.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $253.41 / $389.84	Professional		$147.56	$253.41	$389.84
United Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $420.37 / $666.00	Professional		$349.75	$420.37	$666.00