Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,148.95 / $5,007.60 / $5,783.40	Facility		$4,148.95	$5,007.60	$5,783.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $832.63 / $5,621.40	Professional		$750.87	$832.63	$5,621.40
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 $1,398.10 / $1,398.10 / $1,398.10	Professional		$1,398.10	$1,398.10	$1,398.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,398.10 / $1,398.10 / $1,398.10	Facility		$1,398.10	$1,398.10	$1,398.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.48 / $966.22 / $1,482.94	Professional		$908.48	$966.22	$1,482.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.69 / $1,173.05 / $3,591.00	Facility		$958.69	$1,173.05	$3,591.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $838.84 / $1,188.36 / $1,653.74	Professional		$838.84	$1,188.36	$1,653.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Facility		$2,090.00	$2,090.00	$2,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.88 / $1,475.52 / $1,780.80	Professional		$1,322.88	$1,475.52	$1,780.80