Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.49 / $1,128.85 / $3,994.71	Professional		$843.49	$1,128.85	$3,994.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,251.40 / $1,251.40 / $1,251.40	Professional		$1,251.40	$1,251.40	$1,251.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,251.40 / $1,251.40 / $1,251.40	Facility		$1,251.40	$1,251.40	$1,251.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $1,217.54 / $1,251.40	Professional		$612.11	$1,217.54	$1,251.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.38 / $842.03 / $1,251.40	Facility		$612.38	$842.03	$1,251.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $768.96 / $1,217.54 / $1,663.90	Professional		$768.96	$1,217.54	$1,663.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.55 / $1,212.40 / $1,562.68	Professional		$1,017.55	$1,212.40	$1,562.68