Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $111.40 / $560.00	Professional		$104.79	$111.40	$560.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.42 / $212.42 / $212.42	Professional		$212.42	$212.42	$212.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $212.42 / $212.42	Facility		$212.42	$212.42	$212.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $202.24 / $212.42	Professional		$95.09	$202.24	$212.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.12 / $113.01 / $212.42	Facility		$104.12	$113.01	$212.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.08 / $202.24 / $279.30	Professional		$129.08	$202.24	$279.30
United Facility/Professional Professional Modifier Low / Median / High Price $177.54 / $206.08 / $242.88	Professional		$177.54	$206.08	$242.88