Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $244.93 / $390.42	Professional		$222.33	$244.93	$390.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.53 / $428.53 / $447.46	Professional		$428.53	$428.53	$447.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.53 / $428.53 / $428.53	Facility		$428.53	$428.53	$428.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.35 / $380.34 / $447.56	Professional		$212.35	$380.34	$447.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $277.04 / $428.53	Facility		$213.20	$277.04	$428.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.98 / $422.73 / $575.44	Professional		$263.98	$422.73	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $323.79 / $431.76 / $493.44	Professional		$323.79	$431.76	$493.44