Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $214.24 / $1,131.90	Professional		$122.90	$214.24	$1,131.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.59 / $205.59 / $350.71	Professional		$205.59	$205.59	$350.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.59 / $205.59 / $205.59	Facility		$205.59	$205.59	$205.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $225.10 / $350.71	Professional		$174.75	$225.10	$350.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.20 / $204.00 / $341.18	Facility		$114.20	$204.00	$341.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $250.50 / $417.45	Professional		$174.61	$250.50	$417.45
United Facility/Professional Professional Modifier Low / Median / High Price $302.18 / $352.63 / $389.31	Professional		$302.18	$352.63	$389.31