Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,529.00 / $10,529.00 / $10,529.00	Facility		$10,529.00	$10,529.00	$10,529.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,755.24 / $4,755.24 / $4,755.24	Professional		$4,755.24	$4,755.24	$4,755.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,777.00 / $12,777.00 / $86,999.99	Facility		$12,777.00	$12,777.00	$86,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,777.00 / $12,777.00 / $17,037.00	Professional		$12,777.00	$12,777.00	$17,037.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,864.40 / $13,864.40 / $13,864.40	Facility		$13,864.40	$13,864.40	$13,864.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,110.00 / $13,864.40 / $13,864.40	Professional		$10,110.00	$13,864.40	$13,864.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,864.40 / $13,864.40 / $13,864.40	Facility		$13,864.40	$13,864.40	$13,864.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $10,110.00 / $13,864.40 / $13,864.40	Professional		$10,110.00	$13,864.40	$13,864.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,434.21 / $4,884.58 / $5,528.30	Professional		$4,434.21	$4,884.58	$5,528.30