Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,740.50 / $4,740.50 / $4,740.50	Facility		$4,740.50	$4,740.50	$4,740.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.97 / $1,192.50 / $5,811.31	Professional		$1,023.97	$1,192.50	$5,811.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,786.14 / $1,786.14 / $1,786.14	Professional		$1,786.14	$1,786.14	$1,786.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.14 / $1,786.14 / $1,786.14	Facility		$1,786.14	$1,786.14	$1,786.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.25 / $1,786.14 / $1,885.10	Professional		$940.25	$1,786.14	$1,885.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $880.88 / $1,211.21 / $1,786.14	Facility		$880.88	$1,211.21	$1,786.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,075.64 / $1,786.14 / $2,327.50	Professional		$1,075.64	$1,786.14	$2,327.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,505.87 / $1,834.26 / $2,050.55	Professional		$1,505.87	$1,834.26	$2,050.55