Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,404.00 / $3,450.00 / $9,999.25	Facility		$3,404.00	$3,450.00	$9,999.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $142.53 / $268.85	Professional		$142.53	$142.53	$268.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $278.10 / $278.10	Facility		$195.78	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.78 / $278.10 / $278.10	Professional		$195.78	$278.10	$278.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.32 / $264.86 / $278.10	Facility		$132.32	$264.86	$278.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $213.36 / $289.89	Professional		$208.73	$213.36	$289.89
United Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $118.40 / $187.78	Professional		$107.02	$118.40	$187.78