Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,627.81 / $1,627.81	Facility		$1,045.15	$1,627.81	$1,627.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,327.34 / $3,312.23	Professional		$1,045.15	$1,327.34	$3,312.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,884.90 / $6,936.43 / $20,968.91	Facility		$1,884.90	$6,936.43	$20,968.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Facility		$1,045.15	$1,045.15	$1,045.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.10 / $1,045.15 / $1,045.15	Facility		$1,040.10	$1,045.15	$1,045.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,043.55 / $1,043.55 / $1,721.86	Facility		$1,043.55	$1,043.55	$1,721.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15