Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.53 / $685.53 / $685.53	Facility		$685.53	$685.53	$685.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.21 / $1,200.00 / $5,441.52	Professional		$973.21	$1,200.00	$5,441.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.00 / $5,215.13 / $94,999.99	Facility		$1,134.00	$5,215.13	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.00 / $1,134.00 / $1,134.00	Professional		$1,134.00	$1,134.00	$1,134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,227.08 / $1,438.66 / $4,823.74	Facility		$1,227.08	$1,438.66	$4,823.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.08 / $1,227.08 / $1,227.08	Professional		$1,227.08	$1,227.08	$1,227.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.08 / $1,438.66 / $4,823.74	Facility		$1,227.08	$1,438.66	$4,823.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $761.64 / $1,227.08	Professional		$761.64	$761.64	$1,227.08
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $846.27	Professional		$355.43	$355.43	$846.27