Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.21 / $1,263.41 / $3,312.23	Professional		$1,139.21	$1,263.41	$3,312.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,513.19 / $77,999.99 / $94,999.99	Facility		$2,513.19	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.22 / $1,191.22 / $3,736.29	Facility		$1,191.22	$1,191.22	$3,736.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,191.22	Professional		$1,045.15	$1,045.15	$1,191.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,191.22 / $1,191.22 / $3,736.29	Facility		$1,191.22	$1,191.22	$3,736.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,133.89 / $1,478.99	Professional		$1,045.15	$1,133.89	$1,478.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15