Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,881.38 / $2,881.38 / $2,881.38	Facility		$2,881.38	$2,881.38	$2,881.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $275.94 / $791.42	Professional		$163.34	$275.94	$791.42
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 $235.56 / $235.56 / $503.72	Professional		$235.56	$235.56	$503.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.56 / $235.56 / $235.56	Facility		$235.56	$235.56	$235.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $253.75 / $503.72	Professional		$235.56	$253.75	$503.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.96 / $455.65 / $470.58	Facility		$145.96	$455.65	$470.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $310.56 / $517.63	Professional		$153.87	$310.56	$517.63
United Facility/Professional Professional Modifier Low / Median / High Price $380.05 / $479.08 / $883.37	Professional		$380.05	$479.08	$883.37