Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.37 / $1,102.61 / $4,107.25	Professional		$837.37	$1,102.61	$4,107.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,254.56 / $1,254.56 / $1,254.56	Professional		$1,254.56	$1,254.56	$1,254.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.56 / $1,254.56 / $1,254.56	Facility		$1,254.56	$1,254.56	$1,254.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.32 / $1,254.56 / $1,332.78	Professional		$653.32	$1,254.56	$1,332.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.11 / $855.40 / $1,254.56	Facility		$622.11	$855.40	$1,254.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $755.70 / $1,254.56 / $1,635.20	Professional		$755.70	$1,254.56	$1,635.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.55 / $1,291.05 / $1,449.60	Professional		$1,064.55	$1,291.05	$1,449.60