Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,299.35 / $7,975.21 / $7,975.21	Professional		$2,299.35	$7,975.21	$7,975.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,218.23 / $2,218.23 / $2,218.23	Professional		$2,218.23	$2,218.23	$2,218.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $2,385.04 / $2,385.04	Facility		$1,295.39	$2,385.04	$2,385.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.39 / $1,939.54 / $2,385.04	Professional		$1,295.39	$1,939.54	$2,385.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $2,271.46 / $2,385.04	Facility		$1,155.80	$2,271.46	$2,385.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,295.39 / $1,790.08 / $2,386.78	Professional		$1,295.39	$1,790.08	$2,386.78
United Facility/Professional Professional Modifier Low / Median / High Price $934.77 / $1,034.25 / $1,593.75	Professional		$934.77	$1,034.25	$1,593.75