Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,757.85 / $3,757.85 / $3,757.85	Facility		$3,757.85	$3,757.85	$3,757.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $174.88 / $438.54	Professional		$72.40	$174.88	$438.54
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 $133.55 / $133.55 / $363.85	Professional		$133.55	$133.55	$363.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $133.55 / $133.55	Facility		$133.55	$133.55	$133.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $136.00 / $327.47	Professional		$68.47	$136.00	$327.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $133.55 / $276.77	Facility		$65.91	$133.55	$276.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $224.83 / $437.85	Professional		$111.15	$224.83	$437.85
United Facility/Professional Professional Modifier Low / Median / High Price $245.31 / $334.96 / $385.99	Professional		$245.31	$334.96	$385.99