Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,007.60 / $5,257.80 / $7,871.49	Facility		$5,007.60	$5,257.80	$7,871.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.35 / $1,304.46 / $6,061.26	Professional		$1,181.35	$1,304.46	$6,061.26
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 $1,777.73 / $1,777.73 / $1,777.73	Professional		$1,777.73	$1,777.73	$1,777.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,777.73 / $1,777.73 / $1,777.73	Facility		$1,777.73	$1,777.73	$1,777.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.09 / $1,454.97 / $1,899.07	Professional		$1,163.09	$1,454.97	$1,899.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,777.73 / $1,777.73 / $1,827.60	Facility		$1,777.73	$1,777.73	$1,827.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,068.52 / $1,513.76 / $2,107.73	Professional		$1,068.52	$1,513.76	$2,107.73
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 $1,691.56 / $1,919.26 / $2,335.64	Professional		$1,691.56	$1,919.26	$2,335.64