Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,243.44 / $3,410.74 / $11,896.20	Professional		$2,243.44	$3,410.74	$11,896.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,586.48 / $3,586.48 / $3,586.48	Professional		$3,586.48	$3,586.48	$3,586.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,586.48 / $3,586.48 / $3,586.48	Facility		$3,586.48	$3,586.48	$3,586.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.46 / $3,586.48 / $3,586.48	Professional		$2,623.46	$3,586.48	$3,586.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,586.48 / $4,324.45 / $4,485.68	Facility		$3,586.48	$4,324.45	$4,485.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,202.71 / $3,120.56 / $4,766.30	Professional		$2,202.71	$3,120.56	$4,766.30
United Facility/Professional Professional Modifier Low / Median / High Price $3,393.03 / $4,053.60 / $6,291.85	Professional		$3,393.03	$4,053.60	$6,291.85