Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.23 / $1,405.99 / $5,379.05	Professional		$1,036.23	$1,405.99	$5,379.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,565.83 / $1,565.83 / $1,565.83	Professional		$1,565.83	$1,565.83	$1,565.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,565.83 / $1,565.83 / $1,565.83	Facility		$1,565.83	$1,565.83	$1,565.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.10 / $1,565.83 / $1,717.48	Professional		$785.10	$1,565.83	$1,717.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.63 / $968.29 / $1,565.83	Facility		$774.63	$968.29	$1,565.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $922.48 / $1,565.83 / $2,060.80	Professional		$922.48	$1,565.83	$2,060.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,039.96 / $1,677.35 / $1,877.12	Professional		$1,039.96	$1,677.35	$1,877.12