Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.22 / $1,004.36 / $3,734.55	Professional		$761.22	$1,004.36	$3,734.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.08 / $1,143.08 / $1,143.08	Professional		$1,143.08	$1,143.08	$1,143.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.08 / $1,143.08 / $1,143.08	Facility		$1,143.08	$1,143.08	$1,143.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.12 / $1,143.08 / $1,194.84	Professional		$592.12	$1,143.08	$1,194.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.10 / $778.39 / $1,143.08	Facility		$566.10	$778.39	$1,143.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.44 / $1,143.08 / $1,487.50	Professional		$687.44	$1,143.08	$1,487.50
United Facility/Professional Professional Modifier Low / Median / High Price $932.80 / $1,151.34 / $1,315.83	Professional		$932.80	$1,151.34	$1,315.83