Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,402.48 / $12,778.20 / $12,778.20	Professional		$2,402.48	$12,778.20	$12,778.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,843.60 / $3,843.60 / $3,843.60	Professional		$3,843.60	$3,843.60	$3,843.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,843.60 / $3,843.60 / $3,843.60	Facility		$3,843.60	$3,843.60	$3,843.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,782.42 / $3,843.60 / $4,117.64	Professional		$2,782.42	$3,843.60	$4,117.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,884.76 / $4,347.20 / $4,643.82	Facility		$1,884.76	$4,347.20	$4,643.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,345.05 / $3,517.94 / $5,074.30	Professional		$2,345.05	$3,517.94	$5,074.30
United Facility/Professional Professional Modifier Low / Median / High Price $3,410.88 / $4,205.39 / $6,765.44	Professional		$3,410.88	$4,205.39	$6,765.44