Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.40 / $801.20 / $852.65	Professional		$742.40	$801.20	$852.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,067.33 / $1,067.33 / $1,067.33	Facility		$1,067.33	$1,067.33	$1,067.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $1,067.33 / $1,067.33	Professional		$735.05	$1,067.33	$1,067.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $1,067.33 / $1,207.70	Facility		$735.05	$1,067.33	$1,207.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $797.46 / $797.46 / $1,159.40	Professional		$797.46	$797.46	$1,159.40
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05