Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.20 / $2,818.80 / $2,818.80	Facility		$1,870.20	$2,818.80	$2,818.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.59 / $264.81 / $1,019.00	Professional		$252.59	$264.81	$1,019.00
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 $381.21 / $381.21 / $381.21	Professional		$381.21	$381.21	$381.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.21 / $381.21 / $381.21	Facility		$381.21	$381.21	$381.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.83 / $381.21 / $412.06	Professional		$286.83	$381.21	$412.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.58 / $462.15 / $472.48	Facility		$188.58	$462.15	$472.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $346.02 / $499.10	Professional		$230.66	$346.02	$499.10
United Facility/Professional Professional Modifier Low / Median / High Price $362.62 / $424.79 / $664.15	Professional		$362.62	$424.79	$664.15