Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.31 / $5,811.51 / $5,811.51	Professional		$674.31	$5,811.51	$5,811.51
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 $889.13 / $889.13 / $889.13	Facility		$889.13	$889.13	$889.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.13 / $889.13 / $1,894.99	Professional		$889.13	$889.13	$1,894.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.67 / $1,968.85 / $2,130.89	Facility		$436.67	$1,968.85	$2,130.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $627.59 / $889.13 / $1,358.00	Professional		$627.59	$889.13	$1,358.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,544.79 / $1,833.38 / $2,212.69	Professional		$1,544.79	$1,833.38	$2,212.69