Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,312.50 / $24,112.50 / $24,112.50	Professional		$4,312.50	$24,112.50	$24,112.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,025.00 / $5,025.00 / $5,025.00	Professional		$5,025.00	$5,025.00	$5,025.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,437.50 / $6,375.00 / $21,375.00	Facility		$5,437.50	$6,375.00	$21,375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,437.50 / $5,437.50 / $5,437.50	Professional		$5,437.50	$5,437.50	$5,437.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,437.50 / $6,375.00 / $21,375.00	Facility		$5,437.50	$6,375.00	$21,375.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,375.00 / $3,375.00 / $5,437.50	Professional		$3,375.00	$3,375.00	$5,437.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.53 / $1,575.00 / $3,750.00	Professional		$1,226.53	$1,575.00	$3,750.00