Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $4,886.80 / $4,886.80	Professional		$874.00	$4,886.80	$4,886.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.40 / $64,999.99 / $94,999.99	Facility		$1,018.40	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.40 / $1,018.40 / $1,018.40	Professional		$1,018.40	$1,018.40	$1,018.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,292.00 / $4,332.00	Facility		$1,102.00	$1,292.00	$4,332.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.45 / $1,102.00 / $1,102.00	Professional		$285.45	$1,102.00	$1,102.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,102.00 / $1,292.00 / $4,332.00	Facility		$1,102.00	$1,292.00	$4,332.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $684.00 / $1,102.00	Professional		$684.00	$684.00	$1,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $319.20 / $602.10	Professional		$252.88	$319.20	$602.10