Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.51 / $1,003.17 / $3,883.01	Professional		$643.51	$1,003.17	$3,883.01
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 $1,183.58 / $1,183.58 / $1,183.58	Professional		$1,183.58	$1,183.58	$1,183.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,183.58 / $1,183.58 / $1,183.58	Facility		$1,183.58	$1,183.58	$1,183.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.45 / $1,183.58 / $1,234.42	Professional		$619.45	$1,183.58	$1,234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.17 / $808.74 / $1,183.58	Facility		$588.17	$808.74	$1,183.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.08 / $1,183.54 / $1,536.50	Professional		$710.08	$1,183.54	$1,536.50
United Facility/Professional Professional Modifier Low / Median / High Price $951.61 / $1,218.67 / $1,368.32	Professional		$951.61	$1,218.67	$1,368.32