Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,640.17 / $12,625.70 / $12,625.70	Professional		$3,640.17	$12,625.70	$12,625.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,426.38 / $4,426.38 / $4,426.38	Professional		$4,426.38	$4,426.38	$4,426.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $4,759.24 / $4,759.24	Facility		$2,502.67	$4,759.24	$4,759.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,502.67 / $3,870.25 / $4,759.24	Professional		$2,502.67	$3,870.25	$4,759.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,232.98 / $4,532.60 / $4,759.24	Facility		$2,232.98	$4,532.60	$4,759.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,502.67 / $3,572.02 / $4,762.68	Professional		$2,502.67	$3,572.02	$4,762.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,805.95 / $1,998.13 / $3,079.07	Professional		$1,805.95	$1,998.13	$3,079.07