Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.03 / $375.43 / $3,455.67	Professional		$207.03	$375.43	$3,455.67
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 $381.21 / $381.21 / $4,375.71	Professional		$381.21	$381.21	$4,375.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.21 / $381.21 / $381.21	Facility		$381.21	$381.21	$381.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.21 / $389.66 / $5,086.10	Professional		$381.21	$389.66	$5,086.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.29 / $381.21 / $2,565.28	Facility		$188.29	$381.21	$2,565.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $2,730.41 / $5,086.10	Professional		$250.26	$2,730.41	$5,086.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,999.02 / $5,881.20 / $7,951.28	Professional		$4,999.02	$5,881.20	$7,951.28