Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.00 / $1,757.00 / $1,757.00	Facility		$1,757.00	$1,757.00	$1,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $138.40 / $545.00	Professional		$76.34	$138.40	$545.00
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 $118.83 / $206.93 / $243.45	Professional		$118.83	$206.93	$243.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.83 / $118.83 / $118.83	Facility		$118.83	$118.83	$118.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $126.29 / $243.45	Professional		$118.83	$126.29	$243.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.28 / $225.55 / $242.25	Facility		$73.28	$225.55	$242.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $154.69 / $253.42	Professional		$77.45	$154.69	$253.42
United Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $242.49 / $430.14	Professional		$193.17	$242.49	$430.14