Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,962.90 / $1,962.90 / $4,039.01	Facility		$1,962.90	$1,962.90	$4,039.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $97.57 / $512.59	Professional		$86.98	$97.57	$512.59
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 $151.43 / $151.43 / $151.43	Professional		$151.43	$151.43	$151.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.43 / $151.43 / $151.43	Facility		$151.43	$151.43	$151.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $151.43 / $169.94	Professional		$111.36	$151.43	$169.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.18 / $172.90 / $189.12	Facility		$74.18	$172.90	$189.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $135.88 / $196.00	Professional		$90.58	$135.88	$196.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $166.20 / $266.41	Professional		$135.66	$166.20	$266.41