Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.13 / $2,595.08 / $2,595.08	Professional		$464.13	$2,595.08	$2,595.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.11 / $68,999.99 / $94,999.99	Facility		$1,406.11	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.21 / $686.10 / $2,300.46	Facility		$585.21	$686.10	$2,300.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.21 / $585.21 / $585.21	Professional		$585.21	$585.21	$585.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.21 / $686.10 / $2,300.46	Facility		$585.21	$686.10	$2,300.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.23 / $363.23 / $585.21	Professional		$363.23	$363.23	$585.21
United Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $169.51 / $301.36	Professional		$126.38	$169.51	$301.36