Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.00 / $1,064.15 / $1,508.00	Facility		$697.00	$1,064.15	$1,508.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.15 / $1,064.15 / $1,323.00	Professional		$1,064.15	$1,064.15	$1,323.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.58 / $939.99 / $1,571.92	Facility		$397.58	$939.99	$1,571.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.24 / $1,190.77 / $1,701.41	Facility		$492.24	$1,190.77	$1,701.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.09 / $1,190.77 / $1,704.57	Facility		$389.09	$1,190.77	$1,704.57
United Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $716.53 / $866.23	Facility		$377.12	$716.53	$866.23