Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $750.77 / $750.77	Facility		$484.14	$750.77	$750.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $614.86 / $948.18	Professional		$484.14	$614.86	$948.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.71 / $414.71 / $567.89	Professional		$414.71	$414.71	$567.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Facility		$484.14	$484.14	$484.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.58 / $484.14 / $484.14	Facility		$469.58	$484.14	$484.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14