Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,337.30 / $1,704.44 / $6,571.01	Professional		$1,337.30	$1,704.44	$6,571.01
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 $2,114.23 / $2,114.23 / $2,114.23	Professional		$2,114.23	$2,114.23	$2,114.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,114.23 / $2,114.23 / $2,114.23	Facility		$2,114.23	$2,114.23	$2,114.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.88 / $1,971.82 / $2,114.23	Professional		$1,102.88	$1,971.82	$2,114.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,041.60 / $1,348.19 / $2,114.23	Facility		$1,041.60	$1,348.19	$2,114.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,265.53 / $1,971.82 / $2,738.40	Professional		$1,265.53	$1,971.82	$2,738.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,699.88 / $2,106.71 / $2,384.35	Professional		$1,699.88	$2,106.71	$2,384.35