Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,194.14 / $2,517.81 / $13,129.60	Professional		$2,194.14	$2,517.81	$13,129.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,018.69 / $4,018.69 / $4,822.43	Professional		$4,018.69	$4,018.69	$4,822.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,018.69 / $4,018.69 / $4,018.69	Facility		$4,018.69	$4,018.69	$4,018.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,473.42 / $4,014.31 / $7,350.94	Professional		$2,473.42	$4,014.31	$7,350.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,480.62 / $3,305.36 / $4,698.21	Facility		$2,480.62	$3,305.36	$4,698.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,532.38 / $4,070.96 / $6,783.67	Professional		$2,532.38	$4,070.96	$6,783.67
United Facility/Professional Professional Modifier Low / Median / High Price $3,520.54 / $4,381.08 / $5,367.96	Professional		$3,520.54	$4,381.08	$5,367.96