Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.51 / $1,030.88 / $3,831.81	Professional		$780.51	$1,030.88	$3,831.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.58 / $1,173.58 / $1,173.58	Professional		$1,173.58	$1,173.58	$1,173.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,173.58 / $1,173.58 / $1,173.58	Facility		$1,173.58	$1,173.58	$1,173.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.16 / $1,173.58 / $1,226.27	Professional		$584.16	$1,173.58	$1,226.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.89 / $790.70 / $1,173.58	Facility		$581.89	$790.70	$1,173.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $1,173.58 / $1,526.00	Professional		$705.23	$1,173.58	$1,526.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.88 / $1,179.92 / $1,348.48	Professional		$1,064.88	$1,179.92	$1,348.48