Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,718.00 / $2,718.00 / $2,718.00	Facility		$2,718.00	$2,718.00	$2,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.26 / $1,804.98 / $3,688.08	Professional		$779.26	$1,804.98	$3,688.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,864.80 / $77,999.99 / $94,999.99	Facility		$1,864.80	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.48 / $908.48 / $2,753.37	Facility		$908.48	$908.48	$2,753.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $908.48	Professional		$771.56	$771.56	$908.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $908.48 / $908.48 / $2,753.37	Facility		$908.48	$908.48	$2,753.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $837.06 / $1,091.82	Professional		$771.56	$837.06	$1,091.82
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56