Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.30 / $749.71 / $2,873.86	Professional		$572.30	$749.71	$2,873.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.32 / $852.32 / $852.32	Professional		$852.32	$852.32	$852.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.32 / $852.32 / $852.32	Facility		$852.32	$852.32	$852.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.54 / $852.32 / $918.40	Professional		$470.54	$852.32	$918.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.33 / $586.20 / $852.32	Facility		$426.33	$586.20	$852.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $515.66 / $852.32 / $1,115.80	Professional		$515.66	$852.32	$1,115.80
United Facility/Professional Professional Modifier Low / Median / High Price $746.82 / $905.72 / $1,016.95	Professional		$746.82	$905.72	$1,016.95