Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.21 / $1,157.79 / $4,097.05	Professional		$857.21	$1,157.79	$4,097.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,273.49 / $1,273.49 / $1,273.49	Professional		$1,273.49	$1,273.49	$1,273.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.49 / $1,273.49 / $1,273.49	Facility		$1,273.49	$1,273.49	$1,273.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.51 / $1,211.14 / $1,273.49	Professional		$628.51	$1,211.14	$1,273.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.03 / $856.67 / $1,273.49	Facility		$623.03	$856.67	$1,273.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.87 / $1,217.17 / $1,694.00	Professional		$782.87	$1,217.17	$1,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.09 / $1,223.68 / $1,403.16	Professional		$1,040.09	$1,223.68	$1,403.16