Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.53 / $3,862.25 / $3,862.25	Professional		$1,113.53	$3,862.25	$3,862.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.32 / $1,167.32 / $1,167.32	Professional		$1,167.32	$1,167.32	$1,167.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $1,255.10 / $1,255.10	Facility		$765.11	$1,255.10	$1,255.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.11 / $1,255.10 / $1,255.10	Professional		$765.11	$1,255.10	$1,255.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.73 / $1,195.33 / $1,255.10	Facility		$559.73	$1,195.33	$1,255.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.11 / $942.01 / $1,256.02	Professional		$765.11	$942.01	$1,256.02
United Facility/Professional Professional Modifier Low / Median / High Price $452.69 / $500.87 / $771.82	Professional		$452.69	$500.87	$771.82