Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.61 / $500.82 / $969.48	Professional		$453.61	$500.82	$969.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.44 / $946.44 / $946.44	Professional		$946.44	$946.44	$946.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.44 / $946.44 / $946.44	Facility		$946.44	$946.44	$946.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.63 / $587.00 / $955.06	Professional		$584.63	$587.00	$955.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.66 / $769.50 / $946.44	Facility		$604.66	$769.50	$946.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.65 / $808.44 / $1,123.67	Professional		$570.65	$808.44	$1,123.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $1,450.00	Facility		$1,450.00	$1,450.00	$1,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.27 / $971.50 / $1,122.25	Professional		$870.27	$971.50	$1,122.25