Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,644.03 / $13,644.03 / $13,644.03	Facility		$13,644.03	$13,644.03	$13,644.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $286.89 / $286.89	Professional		$222.25	$286.89	$286.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.52 / $77,999.99 / $94,999.99	Facility		$734.52	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.27 / $275.27 / $275.27	Facility		$275.27	$275.27	$275.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.27 / $399.36 / $399.36	Professional		$275.27	$399.36	$399.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.27 / $275.27 / $275.27	Facility		$275.27	$275.27	$275.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.12 / $241.12 / $399.36	Professional		$241.12	$241.12	$399.36
United Facility/Professional Professional Modifier Low / Median / High Price $251.14 / $251.14 / $266.70	Professional		$251.14	$251.14	$266.70