Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,193.94 / $2,193.94 / $5,036.02	Facility		$2,193.94	$2,193.94	$5,036.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $285.69 / $1,384.94	Professional		$261.36	$285.69	$1,384.94
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 $409.60 / $409.60 / $409.60	Professional		$409.60	$409.60	$409.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.60 / $409.60 / $409.60	Facility		$409.60	$409.60	$409.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.75 / $409.60 / $443.48	Professional		$308.75	$409.60	$443.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.79 / $499.85 / $509.80	Facility		$202.79	$499.85	$509.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $371.74 / $536.20	Professional		$247.80	$371.74	$536.20
United Facility/Professional Professional Modifier Low / Median / High Price $392.19 / $449.58 / $713.17	Professional		$392.19	$449.58	$713.17