Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,249.60 / $15,723.00 / $20,454.40	Facility		$12,249.60	$15,723.00	$20,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $30.95 / $8,778.85	Professional		$27.86	$30.95	$8,778.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $77,999.99 / $94,999.99	Facility		$64,999.99	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Facility		$34.04	$34.04	$34.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $34.04	Professional		$27.86	$27.86	$34.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $33.72 / $35.90	Facility		$27.86	$33.72	$35.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $33.24 / $35.90	Professional		$30.18	$33.24	$35.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Professional		$27.86	$27.86	$27.86