Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.75 / $1,759.18 / $2,468.83	Facility		$537.75	$1,759.18	$2,468.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $273.92 / $1,089.00	Professional		$102.65	$273.92	$1,089.00
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 $168.26 / $168.26 / $414.86	Professional		$168.26	$168.26	$414.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.26 / $168.26 / $168.26	Facility		$168.26	$168.26	$168.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $180.55 / $413.27	Professional		$122.41	$180.55	$413.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $168.26 / $250.88	Facility		$82.96	$168.26	$250.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $256.20 / $506.69	Professional		$142.34	$256.20	$506.69
United Facility/Professional Professional Modifier Low / Median / High Price $333.55 / $412.72 / $467.11	Professional		$333.55	$412.72	$467.11