Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.81 / $1,100.40 / $4,266.12	Professional		$808.81	$1,100.40	$4,266.12
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 $1,298.20 / $1,298.20 / $1,298.20	Professional		$1,298.20	$1,298.20	$1,298.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,298.20 / $1,298.20 / $1,298.20	Facility		$1,298.20	$1,298.20	$1,298.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.19 / $1,298.20 / $1,372.94	Professional		$679.19	$1,298.20	$1,372.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $642.72 / $883.74 / $1,298.20	Facility		$642.72	$883.74	$1,298.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.84 / $1,298.20 / $1,696.10	Professional		$783.84	$1,298.20	$1,696.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,203.08 / $1,321.03 / $1,539.77	Professional		$1,203.08	$1,321.03	$1,539.77