Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.13 / $1,348.13 / $1,348.13	Facility		$1,348.13	$1,348.13	$1,348.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.22 / $6.22	Professional		$6.22	$6.22	$6.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $64,999.99 / $86,999.99	Facility		$64,999.99	$64,999.99	$86,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Professional		$22.55	$22.55	$22.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $7.33 / $22.55	Professional		$5.18	$7.33	$22.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $10.98 / $13.38	Professional		$7.00	$10.98	$13.38