Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.29 / $1,087.41 / $4,052.13	Professional		$826.29	$1,087.41	$4,052.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.09 / $1,235.09 / $1,235.09	Professional		$1,235.09	$1,235.09	$1,235.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.09 / $1,235.09 / $1,235.09	Facility		$1,235.09	$1,235.09	$1,235.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $1,235.09 / $1,300.19	Professional		$642.40	$1,235.09	$1,300.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.02 / $841.53 / $1,235.09	Facility		$612.02	$841.53	$1,235.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.34 / $1,235.09 / $1,612.80	Professional		$745.34	$1,235.09	$1,612.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.91 / $1,252.15 / $1,431.03	Professional		$1,050.91	$1,252.15	$1,431.03