Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $597.02 / $597.02	Professional		$597.02	$597.02	$597.02
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.33 / $1,271.02 / $3,238.85	Facility		$852.33	$1,271.02	$3,238.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $1,104.71	Professional		$611.41	$611.41	$1,104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $852.33 / $1,271.02 / $3,238.85	Facility		$852.33	$1,271.02	$3,238.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $870.31 / $1,257.59	Professional		$611.41	$870.31	$1,257.59
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $683.34	Professional		$683.34	$683.34	$683.34