Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.58 / $527.49 / $2,613.90	Professional		$449.58	$527.49	$2,613.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.05 / $806.05 / $851.80	Professional		$806.05	$806.05	$851.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.05 / $806.05 / $806.05	Facility		$806.05	$806.05	$806.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.33 / $724.03 / $875.91	Professional		$411.33	$724.03	$875.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.61 / $536.74 / $806.05	Facility		$399.61	$536.74	$806.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.51 / $805.03 / $1,099.31	Professional		$509.51	$805.03	$1,099.31
United Facility/Professional Professional Modifier Low / Median / High Price $684.86 / $851.20 / $995.94	Professional		$684.86	$851.20	$995.94