Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.70 / $1,526.70 / $1,526.70	Facility		$1,526.70	$1,526.70	$1,526.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $216.21 / $633.21	Professional		$108.05	$216.21	$633.21
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 $182.45 / $182.45 / $396.98	Professional		$182.45	$182.45	$396.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Facility		$182.45	$182.45	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $266.60 / $415.85	Professional		$143.50	$266.60	$415.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $182.45 / $267.52	Facility		$113.79	$182.45	$267.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $301.39 / $561.88	Professional		$159.63	$301.39	$561.88
United Facility/Professional Professional Modifier Low / Median / High Price $360.93 / $421.66 / $524.74	Professional		$360.93	$421.66	$524.74