Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.33 / $1,165.54 / $4,758.00	Professional		$1,126.33	$1,165.54	$4,758.00
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 $1,761.43 / $1,761.43 / $1,761.43	Professional		$1,761.43	$1,761.43	$1,761.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.43 / $1,761.43 / $1,761.43	Facility		$1,761.43	$1,761.43	$1,761.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.56 / $1,761.43 / $1,857.74	Professional		$1,283.56	$1,761.43	$1,857.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.95 / $1,993.55 / $2,098.64	Facility		$863.95	$1,993.55	$2,098.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.43 / $1,607.31 / $2,318.40	Professional		$1,071.43	$1,607.31	$2,318.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.17 / $1,918.09 / $3,087.63	Professional		$1,564.17	$1,918.09	$3,087.63