Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.01 / $2,188.63 / $2,188.63	Professional		$631.01	$2,188.63	$2,188.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.91 / $620.91 / $620.91	Professional		$620.91	$620.91	$620.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $667.61 / $667.61	Facility		$528.47	$667.61	$667.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.47 / $563.38 / $667.61	Professional		$528.47	$563.38	$667.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.48 / $635.82 / $667.61	Facility		$354.48	$635.82	$667.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.07 / $528.47 / $731.19	Professional		$501.07	$528.47	$731.19
United Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $317.20 / $488.80	Professional		$286.69	$317.20	$488.80