Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.26 / $749.55 / $1,413.82	Professional		$663.26	$749.55	$1,413.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.85 / $1,270.85 / $1,393.90	Professional		$1,270.85	$1,270.85	$1,393.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,270.85 / $1,270.85 / $1,270.85	Facility		$1,270.85	$1,270.85	$1,270.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.85 / $887.37 / $1,428.81	Professional		$761.85	$887.37	$1,428.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.85 / $1,052.29 / $2,137.50	Facility		$727.85	$1,052.29	$2,137.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $824.03 / $1,140.94 / $1,504.09	Professional		$824.03	$1,140.94	$1,504.09
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 $1,204.56 / $1,431.27 / $1,757.70	Professional		$1,204.56	$1,431.27	$1,757.70