Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.28 / $1,795.28 / $1,795.28	Facility		$1,795.28	$1,795.28	$1,795.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $33.34 / $476.63	Professional		$30.30	$33.34	$476.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $77,999.99 / $94,999.99	Facility		$25.48	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $30.81 / $44.42	Facility		$25.56	$30.81	$44.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.81	Professional		$30.01	$30.01	$30.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $30.81 / $44.42	Facility		$25.56	$30.81	$44.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $32.56 / $42.47	Professional		$29.24	$32.56	$42.47
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01