Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.81 / $4,220.60 / $4,220.60	Professional		$833.81	$4,220.60	$4,220.60
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 $1,257.19 / $1,257.19 / $1,257.19	Facility		$1,257.19	$1,257.19	$1,257.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.87 / $1,257.19 / $1,350.82	Professional		$872.87	$1,257.19	$1,350.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.40 / $1,420.90 / $1,460.44	Facility		$622.40	$1,420.90	$1,460.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $757.96 / $1,137.06 / $1,640.10	Professional		$757.96	$1,137.06	$1,640.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.85 / $1,387.80 / $2,185.76	Professional		$1,114.85	$1,387.80	$2,185.76