Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.99 / $688.58 / $3,389.84	Professional		$625.99	$688.58	$3,389.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.85 / $1,015.85 / $1,015.85	Professional		$1,015.85	$1,015.85	$1,015.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,015.85 / $1,015.85 / $1,207.50	Facility		$1,015.85	$1,015.85	$1,207.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.87 / $1,015.85 / $1,454.03	Professional		$722.87	$1,015.85	$1,454.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.85 / $1,015.85 / $1,207.50	Facility		$1,015.85	$1,015.85	$1,207.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $629.21 / $891.39 / $1,426.33	Professional		$629.21	$891.39	$1,426.33
United Facility/Professional Professional Modifier Low / Median / High Price $992.98 / $1,126.35 / $1,350.31	Professional		$992.98	$1,126.35	$1,350.31