Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.64 / $1,191.36 / $4,432.75	Professional		$904.64	$1,191.36	$4,432.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,353.94 / $1,353.94 / $1,353.94	Professional		$1,353.94	$1,353.94	$1,353.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,353.94 / $1,353.94 / $1,353.94	Facility		$1,353.94	$1,353.94	$1,353.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.71 / $1,353.94 / $1,416.59	Professional		$707.71	$1,353.94	$1,416.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.41 / $921.81 / $1,353.94	Facility		$670.41	$921.81	$1,353.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.51 / $1,353.94 / $1,766.80	Professional		$816.51	$1,353.94	$1,766.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.15 / $1,393.65 / $1,564.80	Professional		$1,149.15	$1,393.65	$1,564.80