Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.24 / $1,247.24 / $1,247.24	Facility		$1,247.24	$1,247.24	$1,247.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $175.24 / $638.69	Professional		$121.92	$175.24	$638.69
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 $191.92 / $191.92 / $282.88	Professional		$191.92	$191.92	$282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.60 / $207.19 / $282.88	Professional		$179.60	$207.19	$282.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.43 / $271.70 / $289.05	Facility		$118.43	$271.70	$289.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $193.03 / $285.77	Professional		$125.48	$193.03	$285.77
United Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $281.89 / $493.96	Professional		$228.43	$281.89	$493.96