Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.46 / $4,883.78 / $4,883.78	Professional		$873.46	$4,883.78	$4,883.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,017.77 / $1,017.77 / $86,999.99	Facility		$1,017.77	$1,017.77	$86,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.77 / $1,017.77 / $1,017.77	Professional		$1,017.77	$1,017.77	$1,017.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.32 / $1,481.08 / $2,244.41	Facility		$1,101.32	$1,481.08	$2,244.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.67 / $1,101.32 / $1,101.32	Professional		$872.67	$1,101.32	$1,101.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,101.32 / $1,481.08 / $2,244.41	Facility		$1,101.32	$1,481.08	$2,244.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $683.58 / $683.58 / $1,101.32	Professional		$683.58	$683.58	$1,101.32
United Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $319.00 / $759.53	Professional		$38.72	$319.00	$759.53