Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.19 / $1,481.12 / $5,526.26	Professional		$1,128.19	$1,481.12	$5,526.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,683.09 / $1,683.09 / $1,683.09	Professional		$1,683.09	$1,683.09	$1,683.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,683.09 / $1,683.09 / $1,683.09	Facility		$1,683.09	$1,683.09	$1,683.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.54 / $1,683.09 / $1,775.68	Professional		$797.54	$1,683.09	$1,775.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $833.30 / $1,145.78 / $1,683.09	Facility		$833.30	$1,145.78	$1,683.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,016.76 / $1,683.09 / $2,200.10	Professional		$1,016.76	$1,683.09	$2,200.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.38 / $1,740.78 / $1,954.56	Professional		$1,435.38	$1,740.78	$1,954.56