Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,428.93 / $19,428.93 / $19,428.93	Facility		$19,428.93	$19,428.93	$19,428.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $29.83 / $32.53	Professional		$29.58	$29.83	$32.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.44 / $77,999.99 / $94,999.99	Facility		$102.44	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $29.02 / $29.02	Facility		$29.02	$29.02	$29.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $29.84 / $29.84	Professional		$29.02	$29.84	$29.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $29.02 / $29.02	Facility		$29.02	$29.02	$29.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $32.36 / $44.17	Professional		$29.84	$32.36	$44.17
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84