Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.91 / $642.87 / $3,394.57	Professional		$534.91	$642.87	$3,394.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.24 / $1,044.24 / $1,253.08	Professional		$1,044.24	$1,044.24	$1,253.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,044.24 / $1,044.24 / $1,044.24	Facility		$1,044.24	$1,044.24	$1,044.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.30 / $1,044.24 / $1,827.62	Professional		$614.30	$1,044.24	$1,827.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.09 / $895.03 / $1,175.19	Facility		$645.09	$895.03	$1,175.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.66 / $1,059.53 / $1,765.55	Professional		$650.66	$1,059.53	$1,765.55
United Facility/Professional Professional Modifier Low / Median / High Price $896.76 / $1,084.16 / $1,430.68	Professional		$896.76	$1,084.16	$1,430.68