Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $268.67 / $997.59	Professional		$200.01	$268.67	$997.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.75 / $310.75 / $314.43	Professional		$310.75	$310.75	$314.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.43 / $314.43 / $314.43	Facility		$314.43	$314.43	$314.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $267.27 / $314.43	Professional		$148.72	$267.27	$314.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $193.15 / $314.43	Facility		$154.52	$193.15	$314.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.10 / $300.31 / $396.69	Professional		$183.10	$300.31	$396.69
United Facility/Professional Professional Modifier Low / Median / High Price $249.85 / $292.60 / $339.90	Professional		$249.85	$292.60	$339.90