Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.55 / $1,155.25 / $1,776.04	Professional		$1,027.55	$1,155.25	$1,776.04
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 $1,827.16 / $1,827.16 / $1,827.16	Professional		$1,827.16	$1,827.16	$1,827.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,827.16 / $1,827.16 / $1,827.16	Facility		$1,827.16	$1,827.16	$1,827.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.45 / $1,827.16 / $1,904.30	Professional		$1,306.45	$1,827.16	$1,904.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $2,043.60 / $2,150.50	Facility		$895.74	$2,043.60	$2,150.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,112.83 / $1,669.43 / $2,408.00	Professional		$1,112.83	$1,669.43	$2,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,603.43 / $1,981.22 / $3,204.19	Professional		$1,603.43	$1,981.22	$3,204.19