Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.71 / $6,249.45 / $6,249.45	Professional		$1,388.71	$6,249.45	$6,249.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,908.13 / $1,908.13 / $2,289.75	Professional		$1,908.13	$1,908.13	$2,289.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,908.13 / $1,908.13 / $1,908.13	Facility		$1,908.13	$1,908.13	$1,908.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.56 / $1,908.13 / $1,908.13	Professional		$1,560.56	$1,908.13	$1,908.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,908.13 / $2,402.40 / $2,472.44	Facility		$1,908.13	$2,402.40	$2,472.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.31 / $1,663.63 / $2,541.00	Professional		$1,174.31	$1,663.63	$2,541.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,873.05 / $2,161.21 / $3,342.01	Professional		$1,873.05	$2,161.21	$3,342.01