Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.61 / $758.76 / $4,104.97	Professional		$560.61	$758.76	$4,104.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,233.72 / $1,233.72 / $1,233.72	Professional		$1,233.72	$1,233.72	$1,233.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,326.50 / $1,326.50	Facility		$1,014.49	$1,326.50	$1,326.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.49 / $1,326.50 / $1,326.50	Professional		$1,014.49	$1,326.50	$1,326.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.34 / $1,263.33 / $1,326.50	Facility		$704.34	$1,263.33	$1,326.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $995.60 / $1,017.66 / $1,382.78	Professional		$995.60	$1,017.66	$1,382.78
United Facility/Professional Professional Modifier Low / Median / High Price $569.64 / $630.26 / $734.15	Professional		$569.64	$630.26	$734.15