Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.59 / $603.07 / $824.88	Professional		$546.59	$603.07	$824.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.58 / $1,061.58 / $1,061.58	Professional		$1,061.58	$1,061.58	$1,061.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.58 / $1,061.58 / $1,061.58	Facility		$1,061.58	$1,061.58	$1,061.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.08 / $703.29 / $1,129.08	Professional		$691.08	$703.29	$1,129.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.90 / $850.51 / $1,061.58	Facility		$495.90	$850.51	$1,061.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $637.62 / $903.31 / $1,258.85	Professional		$637.62	$903.31	$1,258.85
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 $1,007.77 / $1,124.04 / $1,298.47	Professional		$1,007.77	$1,124.04	$1,298.47