Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.62 / $875.54 / $5,400.00	Professional		$792.62	$875.54	$5,400.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.41 / $976.41 / $976.41	Professional		$976.41	$976.41	$976.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $976.41 / $976.41 / $976.41	Facility		$976.41	$976.41	$976.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.79 / $976.41 / $1,559.76	Professional		$955.79	$976.41	$1,559.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $976.41 / $976.41 / $976.41	Facility		$976.41	$976.41	$976.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $711.38 / $1,007.80 / $1,358.27	Professional		$711.38	$1,007.80	$1,358.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Facility		$2,090.00	$2,090.00	$2,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,392.04 / $1,579.43 / $1,850.25	Professional		$1,392.04	$1,579.43	$1,850.25