Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.00 / $7,458.80 / $7,458.80	Professional		$1,334.00	$7,458.80	$7,458.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,554.40 / $64,999.99 / $94,999.99	Facility		$1,554.40	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,554.40 / $1,554.40 / $1,554.40	Professional		$1,554.40	$1,554.40	$1,554.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $1,972.00 / $6,612.00	Facility		$1,682.00	$1,972.00	$6,612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,682.00 / $1,682.00 / $1,682.00	Professional		$1,682.00	$1,682.00	$1,682.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $1,972.00 / $6,612.00	Facility		$1,682.00	$1,972.00	$6,612.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,044.00 / $1,682.00	Professional		$1,044.00	$1,044.00	$1,682.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $1,160.00	Professional		$487.20	$487.20	$1,160.00