Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.01 / $1,245.09 / $4,655.01	Professional		$951.01	$1,245.09	$4,655.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,411.77 / $1,411.77 / $1,411.77	Professional		$1,411.77	$1,411.77	$1,411.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,411.77 / $1,411.77 / $1,411.77	Facility		$1,411.77	$1,411.77	$1,411.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.30 / $1,411.77 / $1,500.40	Professional		$752.30	$1,411.77	$1,500.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.94 / $961.05 / $1,411.77	Facility		$698.94	$961.05	$1,411.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.98 / $1,411.77 / $1,852.20	Professional		$855.98	$1,411.77	$1,852.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.58 / $1,470.03 / $1,650.55	Professional		$1,228.58	$1,470.03	$1,650.55