Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.86 / $2,413.01 / $3,288.74	Professional		$480.86	$2,413.01	$3,288.74
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $747.69 / $747.69 / $747.69	Facility		$747.69	$747.69	$747.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.69 / $795.59 / $1,218.13	Professional		$551.69	$795.59	$1,218.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.25 / $1,103.05 / $1,240.97	Facility		$461.25	$1,103.05	$1,240.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.39 / $747.69 / $1,218.13	Professional		$484.39	$747.69	$1,218.13
United Facility/Professional Professional Modifier Low / Median / High Price $865.47 / $1,086.07 / $1,813.93	Professional		$865.47	$1,086.07	$1,813.93