Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,305.41 / $4,620.05 / $6,499.53	Facility		$4,305.41	$4,620.05	$6,499.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $212.17 / $3,236.00	Professional		$180.74	$212.17	$3,236.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.25 / $331.25 / $331.25	Professional		$331.25	$331.25	$331.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.25 / $331.25 / $331.25	Facility		$331.25	$331.25	$331.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.38 / $331.25 / $363.17	Professional		$181.38	$331.25	$363.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.18 / $224.37 / $331.25	Facility		$163.18	$224.37	$331.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.89 / $331.25 / $434.70	Professional		$200.89	$331.25	$434.70
United Facility/Professional Professional Modifier Low / Median / High Price $288.11 / $350.74 / $502.66	Professional		$288.11	$350.74	$502.66