Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $1,896.44 / $2,716.76	Professional		$405.05	$1,896.44	$2,716.76
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 $603.62 / $603.62 / $603.62	Professional		$603.62	$603.62	$603.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.62 / $603.62 / $603.62	Facility		$603.62	$603.62	$603.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.62 / $603.62 / $2,612.69	Professional		$603.62	$603.62	$2,612.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.74 / $603.62 / $1,550.51	Facility		$298.74	$603.62	$1,550.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.46 / $1,616.91 / $2,780.65	Professional		$390.46	$1,616.91	$2,780.65
United Facility/Professional Professional Modifier Low / Median / High Price $2,654.54 / $3,019.63 / $4,649.97	Professional		$2,654.54	$3,019.63	$4,649.97