Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.48 / $1,010.48 / $1,010.48	Facility		$1,010.48	$1,010.48	$1,010.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $157.46 / $210.04	Professional		$157.46	$157.46	$210.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $77,999.99 / $94,999.99	Facility		$64,999.99	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.70 / $299.70 / $299.70	Facility		$299.70	$299.70	$299.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $299.70	Professional		$156.72	$156.72	$299.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $231.04 / $299.70	Facility		$157.47	$231.04	$299.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $248.40 / $1,800,000.00	Professional		$156.72	$248.40	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.69 / $310.30 / $431.55	Professional		$249.69	$310.30	$431.55