Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,995.14 / $3,995.14 / $3,995.14	Facility		$3,995.14	$3,995.14	$3,995.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $642.96 / $707.25	Professional		$636.59	$642.96	$707.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,762.31 / $77,999.99 / $94,999.99	Facility		$1,762.31	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.56 / $757.56 / $2,264.54	Facility		$757.56	$757.56	$2,264.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $757.56	Professional		$636.59	$636.59	$757.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $757.56 / $757.56 / $2,264.54	Facility		$757.56	$757.56	$2,264.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $690.64 / $900.84	Professional		$636.59	$690.64	$900.84
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59