Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,652.29 / $12,667.80 / $12,667.80	Professional		$3,652.29	$12,667.80	$12,667.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,722.11 / $3,722.11 / $3,722.11	Professional		$3,722.11	$3,722.11	$3,722.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $4,002.01 / $4,002.01	Facility		$2,117.90	$4,002.01	$4,002.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,117.90 / $4,002.01 / $4,002.01	Professional		$2,117.90	$4,002.01	$4,002.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,889.67 / $3,811.44 / $4,002.01	Facility		$1,889.67	$3,811.44	$4,002.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,864.30 / $3,070.25 / $4,004.92	Professional		$2,864.30	$3,070.25	$4,004.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,528.30 / $1,690.94 / $2,681.82	Professional		$1,528.30	$1,690.94	$2,681.82