Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,453.95 / $24,903.40	Professional		$3,873.00	$4,453.95	$24,903.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,189.82 / $64,999.99 / $94,999.99	Facility		$5,189.82	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,189.82 / $5,189.82 / $5,189.82	Professional		$5,189.82	$5,189.82	$5,189.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,615.85 / $6,584.10 / $22,076.10	Facility		$5,615.85	$6,584.10	$22,076.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,615.85 / $5,615.85 / $5,615.85	Professional		$5,615.85	$5,615.85	$5,615.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,615.85 / $6,584.10 / $22,076.10	Facility		$5,615.85	$6,584.10	$22,076.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $3,485.70 / $5,615.85	Professional		$3,485.70	$3,485.70	$5,615.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,436.16 / $1,626.66 / $3,873.00	Professional		$1,436.16	$1,626.66	$3,873.00