Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $115.37 / $235.17	Professional		$67.56	$115.37	$235.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.84 / $108.84 / $230.30	Professional		$108.84	$108.84	$230.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.84 / $108.84 / $108.84	Facility		$108.84	$108.84	$108.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $124.86 / $247.93	Professional		$92.51	$124.86	$247.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $134.66 / $222.40	Facility		$62.33	$134.66	$222.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $144.28 / $282.08	Professional		$92.51	$144.28	$282.08
United Facility/Professional Professional Modifier Low / Median / High Price $204.79 / $253.46 / $276.97	Professional		$204.79	$253.46	$276.97