Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $1,052.00 / $3,915.62	Professional		$798.08	$1,052.00	$3,915.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.20 / $1,196.20 / $1,196.20	Professional		$1,196.20	$1,196.20	$1,196.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,196.20 / $1,196.20 / $1,196.20	Facility		$1,196.20	$1,196.20	$1,196.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.54 / $1,196.20 / $1,254.21	Professional		$624.54	$1,196.20	$1,254.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $593.20 / $815.65 / $1,196.20	Facility		$593.20	$815.65	$1,196.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $720.43 / $1,196.20 / $1,558.90	Professional		$720.43	$1,196.20	$1,558.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.78 / $1,245.83 / $1,855.02	Professional		$1,013.78	$1,245.83	$1,855.02