Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.91 / $1,950.78 / $9,399.60	Professional		$1,658.91	$1,950.78	$9,399.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,865.61 / $2,865.61 / $2,865.61	Professional		$2,865.61	$2,865.61	$2,865.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,865.61 / $2,865.61 / $2,865.61	Facility		$2,865.61	$2,865.61	$2,865.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,128.25 / $2,865.61 / $2,865.61	Professional		$2,128.25	$2,865.61	$2,865.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,865.61 / $3,389.75 / $3,524.29	Facility		$2,865.61	$3,389.75	$3,524.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,751.75 / $2,481.69 / $3,790.50	Professional		$1,751.75	$2,481.69	$3,790.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,659.65 / $3,196.20 / $5,016.26	Professional		$2,659.65	$3,196.20	$5,016.26