Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,741.50 / $1,741.50 / $1,810.23	Facility		$1,741.50	$1,741.50	$1,810.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $3,286.90 / $4,708.60	Professional		$164.46	$3,286.90	$4,708.60
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.06 / $256.06 / $4,480.87	Professional		$256.06	$256.06	$4,480.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.06 / $256.06 / $256.06	Facility		$256.06	$256.06	$256.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.06 / $256.06 / $4,480.87	Professional		$256.06	$256.06	$4,480.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.89 / $256.06 / $2,645.41	Facility		$126.89	$256.06	$2,645.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $2,803.91 / $4,792.41	Professional		$167.89	$2,803.91	$4,792.41
United Facility/Professional Professional Modifier Low / Median / High Price $4,528.68 / $5,519.74 / $8,052.11	Professional		$4,528.68	$5,519.74	$8,052.11