Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $450.17 / $1,643.80	Professional		$256.92	$450.17	$1,643.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.91 / $517.91 / $581.53	Professional		$517.91	$517.91	$581.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.91 / $517.91 / $517.91	Facility		$517.91	$517.91	$517.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $466.12 / $572.13	Professional		$265.14	$466.12	$572.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.87 / $348.25 / $517.91	Facility		$256.87	$348.25	$517.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.52 / $511.75 / $713.91	Professional		$330.52	$511.75	$713.91
United Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $555.52 / $637.55	Professional		$372.00	$555.52	$637.55