Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $208.47 / $251.51	Professional		$152.53	$208.47	$251.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $268.16 / $385.41	Professional		$268.16	$268.16	$385.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.16 / $268.16 / $268.16	Facility		$268.16	$268.16	$268.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.94 / $298.57 / $400.42	Professional		$227.94	$298.57	$400.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $236.58 / $414.05	Facility		$150.19	$236.58	$414.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.94 / $311.82 / $457.77	Professional		$225.94	$311.82	$457.77
United Facility/Professional Professional Modifier Low / Median / High Price $367.28 / $409.46 / $439.85	Professional		$367.28	$409.46	$439.85