Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.16 / $3,218.08 / $3,218.08	Professional		$648.16	$3,218.08	$3,218.08
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 $983.77 / $983.77 / $983.77	Professional		$983.77	$983.77	$983.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.77 / $983.77 / $983.77	Facility		$983.77	$983.77	$983.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.16 / $983.77 / $992.89	Professional		$670.16	$983.77	$992.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.92 / $1,055.59 / $1,115.73	Facility		$481.92	$1,055.59	$1,115.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $598.15 / $897.32 / $1,294.30	Professional		$598.15	$897.32	$1,294.30
United Facility/Professional Professional Modifier Low / Median / High Price $834.25 / $1,047.25 / $1,724.20	Professional		$834.25	$1,047.25	$1,724.20