Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,176.53 / $2,176.53 / $2,176.53	Facility		$2,176.53	$2,176.53	$2,176.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $176.21 / $490.93	Professional		$79.65	$176.21	$490.93
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 $148.28 / $148.28 / $360.70	Professional		$148.28	$148.28	$360.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.28 / $148.28 / $148.28	Facility		$148.28	$148.28	$148.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $154.81 / $324.63	Professional		$81.55	$154.81	$324.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $148.28 / $266.14	Facility		$73.40	$148.28	$266.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $226.77 / $441.63	Professional		$124.93	$226.77	$441.63
United Facility/Professional Professional Modifier Low / Median / High Price $287.68 / $330.48 / $387.89	Professional		$287.68	$330.48	$387.89