Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,140.00 / $4,140.00 / $4,140.00	Professional		$4,140.00	$4,140.00	$4,140.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,824.00 / $4,824.00 / $4,824.00	Professional		$4,824.00	$4,824.00	$4,824.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,220.00 / $5,220.00 / $5,220.00	Facility		$5,220.00	$5,220.00	$5,220.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,220.00 / $5,220.00 / $5,220.00	Professional		$5,220.00	$5,220.00	$5,220.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,220.00 / $5,220.00 / $5,220.00	Facility		$5,220.00	$5,220.00	$5,220.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $5,220.00	Professional		$3,240.00	$3,240.00	$5,220.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $3,600.00	Professional		$1,512.00	$1,512.00	$3,600.00