Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,163.73 / $3,163.73 / $3,163.73	Facility		$3,163.73	$3,163.73	$3,163.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $56.48 / $56.48	Professional		$56.48	$56.48	$56.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.35	Professional		$1.00	$1.00	$1.35