Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $451.29 / $2,220.98	Professional		$366.14	$451.29	$2,220.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.80 / $688.80 / $688.80	Professional		$688.80	$688.80	$688.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.80 / $688.80 / $688.80	Facility		$688.80	$688.80	$688.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.41 / $688.80 / $688.80	Professional		$450.41	$688.80	$688.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.06 / $716.30 / $759.63	Facility		$336.06	$716.30	$759.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.64 / $626.52 / $903.70	Professional		$417.64	$626.52	$903.70
United Facility/Professional Professional Modifier Low / Median / High Price $572.92 / $716.30 / $1,204.33	Professional		$572.92	$716.30	$1,204.33