Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.35 / $759.21 / $3,650.00	Professional		$553.35	$759.21	$3,650.00
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 $1,257.19 / $1,257.19 / $1,635.24	Professional		$1,257.19	$1,257.19	$1,635.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.19 / $1,257.19 / $1,257.19	Facility		$1,257.19	$1,257.19	$1,257.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.44 / $1,257.19 / $1,635.24	Professional		$861.44	$1,257.19	$1,635.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $770.58 / $1,389.60 / $1,431.95	Facility		$770.58	$1,389.60	$1,431.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $823.68 / $1,257.19 / $1,763.68	Professional		$823.68	$1,257.19	$1,763.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.48 / $1,443.61 / $2,854.55	Professional		$1,236.48	$1,443.61	$2,854.55