Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.55 / $4,213.13 / $4,213.13	Professional		$831.55	$4,213.13	$4,213.13
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.03 / $1,254.03 / $1,254.03	Facility		$1,254.03	$1,254.03	$1,254.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.04 / $1,254.03 / $1,337.44	Professional		$916.04	$1,254.03	$1,337.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $620.32 / $1,497.60 / $1,533.81	Facility		$620.32	$1,497.60	$1,533.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $755.70 / $1,133.66 / $1,635.20	Professional		$755.70	$1,133.66	$1,635.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,175.04 / $1,432.82 / $2,179.29	Professional		$1,175.04	$1,432.82	$2,179.29