Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,043.33 / $5,243.40 / $6,083.07	Facility		$5,043.33	$5,243.40	$6,083.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $205.99 / $468.43	Professional		$136.59	$205.99	$468.43
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 $207.69 / $207.69 / $478.48	Professional		$207.69	$207.69	$478.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.69 / $207.69 / $207.69	Facility		$207.69	$207.69	$207.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $222.91 / $478.48	Professional		$207.69	$222.91	$478.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.53 / $518.04 / $542.69	Facility		$128.53	$518.04	$542.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $297.94 / $496.60	Professional		$134.94	$297.94	$496.60
United Facility/Professional Professional Modifier Low / Median / High Price $399.10 / $502.20 / $841.74	Professional		$399.10	$502.20	$841.74