Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.55 / $503.55 / $503.55	Facility		$503.55	$503.55	$503.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.96 / $881.96 / $881.96	Professional		$881.96	$881.96	$881.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,747.86 / $77,999.99 / $94,999.99	Facility		$2,747.86	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.14 / $479.04 / $1,220.71	Facility		$288.14	$479.04	$1,220.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $903.21 / $903.21	Professional		$288.14	$903.21	$903.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.14 / $479.04 / $1,220.71	Facility		$288.14	$479.04	$1,220.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.28 / $265.94 / $903.21	Professional		$177.28	$265.94	$903.21
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $885.50	Professional		$885.50	$885.50	$885.50