Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.72 / $8,681.71 / $8,681.71	Professional		$1,552.72	$8,681.71	$8,681.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,809.25 / $1,809.25 / $91,999.99	Facility		$1,809.25	$1,809.25	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,809.25 / $1,809.25 / $1,809.25	Professional		$1,809.25	$1,809.25	$1,809.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,957.78 / $2,632.87 / $3,989.81	Facility		$1,957.78	$2,632.87	$3,989.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.64 / $1,957.78 / $1,957.78	Professional		$1,551.64	$1,957.78	$1,957.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,957.78 / $2,632.87 / $3,989.81	Facility		$1,957.78	$2,632.87	$3,989.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,215.17 / $1,350.19 / $1,957.78	Professional		$1,215.17	$1,350.19	$1,957.78
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $567.08 / $1,350.19	Professional		$567.08	$567.08	$1,350.19