Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.89 / $1,266.55 / $4,715.16	Professional		$963.89	$1,266.55	$4,715.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,439.64 / $1,439.64 / $1,439.64	Professional		$1,439.64	$1,439.64	$1,439.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,439.64 / $1,439.64 / $1,439.64	Facility		$1,439.64	$1,439.64	$1,439.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $1,439.64 / $1,510.29	Professional		$750.87	$1,439.64	$1,510.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $712.48 / $979.66 / $1,439.64	Facility		$712.48	$979.66	$1,439.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $869.24 / $1,439.64 / $1,880.90	Professional		$869.24	$1,439.64	$1,880.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,223.40 / $1,483.70 / $1,717.97	Professional		$1,223.40	$1,483.70	$1,717.97