Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.18 / $1,009.47 / $3,731.46	Professional		$762.18	$1,009.47	$3,731.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.82 / $1,147.82 / $1,147.82	Professional		$1,147.82	$1,147.82	$1,147.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.82 / $1,147.82 / $1,147.82	Facility		$1,147.82	$1,147.82	$1,147.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.21 / $1,147.82 / $1,178.55	Professional		$604.21	$1,147.82	$1,178.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.58 / $785.93 / $1,147.82	Facility		$571.58	$785.93	$1,147.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.70 / $1,147.82 / $1,492.40	Professional		$689.70	$1,147.82	$1,492.40
United Facility/Professional Professional Modifier Low / Median / High Price $983.79 / $1,149.11 / $1,341.11	Professional		$983.79	$1,149.11	$1,341.11