Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.80 / $1,214.63 / $1,650.00	Professional		$1,084.80	$1,214.63	$1,650.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,746.68 / $77,999.99 / $94,999.99	Facility		$1,746.68	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.10 / $1,238.93 / $1,457.56	Facility		$744.10	$1,238.93	$1,457.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,238.93 / $1,387.54	Professional		$1,160.00	$1,238.93	$1,387.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63