Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,672.50 / $15,672.50 / $15,672.50	Facility		$15,672.50	$15,672.50	$15,672.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $255.31 / $412.32	Professional		$149.21	$255.31	$412.32
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 $286.04 / $286.04 / $522.12	Professional		$286.04	$286.04	$522.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.04 / $286.04 / $286.04	Facility		$286.04	$286.04	$286.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $303.22 / $522.12	Professional		$185.44	$303.22	$522.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.51 / $286.04 / $840.00	Facility		$124.51	$286.04	$840.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $321.24 / $535.42	Professional		$185.41	$321.24	$535.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $1,450.00	Facility		$1,450.00	$1,450.00	$1,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.65 / $523.82 / $615.72	Professional		$439.65	$523.82	$615.72