Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,304.10 / $3,304.10 / $3,304.10	Facility		$3,304.10	$3,304.10	$3,304.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.38 / $1,166.68 / $1,166.68	Professional		$336.38	$1,166.68	$1,166.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.11 / $519.11 / $519.11	Professional		$519.11	$519.11	$519.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $558.15 / $558.15	Facility		$252.68	$558.15	$558.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $558.15 / $558.15	Professional		$252.68	$558.15	$558.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.45 / $531.57 / $558.15	Facility		$225.45	$531.57	$558.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $418.91 / $558.54	Professional		$252.68	$418.91	$558.54
United Facility/Professional Professional Modifier Low / Median / High Price $182.33 / $201.73 / $319.95	Professional		$182.33	$201.73	$319.95