Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $227.65 / $900.83	Professional		$161.94	$227.65	$900.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $262.89 / $387.51	Professional		$262.89	$262.89	$387.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.89 / $262.89 / $262.89	Facility		$262.89	$262.89	$262.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $292.75 / $401.58	Professional		$223.47	$292.75	$401.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.03 / $238.19 / $412.10	Facility		$148.03	$238.19	$412.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.73 / $307.39 / $461.54	Professional		$222.73	$307.39	$461.54
United Facility/Professional Professional Modifier Low / Median / High Price $362.43 / $411.22 / $441.75	Professional		$362.43	$411.22	$441.75