Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.37 / $3,269.87 / $4,904.50	Professional		$664.37	$3,269.87	$4,904.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.60 / $1,000.60 / $1,000.60	Professional		$1,000.60	$1,000.60	$1,000.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.60 / $1,000.60 / $1,000.60	Facility		$1,000.60	$1,000.60	$1,000.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.80 / $1,000.60 / $1,048.18	Professional		$466.80	$1,000.60	$1,048.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.39 / $642.92 / $1,000.60	Facility		$496.39	$642.92	$1,000.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.41 / $1,000.60 / $1,299.20	Professional		$600.41	$1,000.60	$1,299.20
United Facility/Professional Professional Modifier Low / Median / High Price $845.06 / $1,006.88 / $1,186.68	Professional		$845.06	$1,006.88	$1,186.68