Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.47 / $1,030.83 / $3,837.69	Professional		$782.47	$1,030.83	$3,837.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.01 / $1,172.01 / $1,172.01	Professional		$1,172.01	$1,172.01	$1,172.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.01 / $1,172.01 / $1,172.01	Facility		$1,172.01	$1,172.01	$1,172.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.29 / $1,172.01 / $1,229.18	Professional		$565.29	$1,172.01	$1,229.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.04 / $798.94 / $1,172.01	Facility		$581.04	$798.94	$1,172.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.20 / $1,172.01 / $1,528.10	Professional		$706.20	$1,172.01	$1,528.10
United Facility/Professional Professional Modifier Low / Median / High Price $994.05 / $1,196.79 / $1,353.61	Professional		$994.05	$1,196.79	$1,353.61