Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.75 / $1,914.75 / $1,914.75	Facility		$1,914.75	$1,914.75	$1,914.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $235.98 / $659.55	Professional		$112.76	$235.98	$659.55
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 $189.29 / $189.29 / $432.21	Professional		$189.29	$189.29	$432.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.29 / $189.29 / $189.29	Facility		$189.29	$189.29	$189.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $291.45 / $452.81	Professional		$150.51	$291.45	$452.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.13 / $189.29 / $291.72	Facility		$118.13	$189.29	$291.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $322.56 / $612.63	Professional		$167.29	$322.56	$612.63
United Facility/Professional Professional Modifier Low / Median / High Price $393.26 / $458.78 / $506.24	Professional		$393.26	$458.78	$506.24