Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.45 / $3,546.45 / $3,546.45	Facility		$3,546.45	$3,546.45	$3,546.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $101.73 / $249.88	Professional		$81.31	$101.73	$249.88
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 $151.43 / $151.43 / $244.50	Professional		$151.43	$151.43	$244.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.43 / $151.43 / $151.43	Facility		$151.43	$151.43	$151.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $151.43 / $244.50	Professional		$110.97	$151.43	$244.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.07 / $167.70 / $180.26	Facility		$92.07	$167.70	$180.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $159.47 / $252.88	Professional		$100.24	$159.47	$252.88
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $209.95 / $381.49	Professional		$149.63	$209.95	$381.49