Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.36 / $1,553.76 / $5,801.95	Professional		$1,185.36	$1,553.76	$5,801.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,765.11 / $1,765.11 / $1,765.11	Professional		$1,765.11	$1,765.11	$1,765.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.11 / $1,765.11 / $1,765.11	Facility		$1,765.11	$1,765.11	$1,765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.93 / $1,765.11 / $1,866.47	Professional		$927.93	$1,765.11	$1,866.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $873.29 / $1,200.77 / $1,765.11	Facility		$873.29	$1,200.77	$1,765.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,067.55 / $1,765.11 / $2,310.00	Professional		$1,067.55	$1,765.11	$2,310.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,508.70 / $1,829.70 / $2,054.40	Professional		$1,508.70	$1,829.70	$2,054.40