Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $292.93 / $470.53	Professional		$248.03	$292.93	$470.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.30 / $495.30 / $536.84	Professional		$495.30	$495.30	$536.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.30 / $495.30 / $495.30	Facility		$495.30	$495.30	$495.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.18 / $445.77 / $536.84	Professional		$249.18	$445.77	$536.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.27 / $333.39 / $495.30	Facility		$246.27	$333.39	$495.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $488.52 / $685.79	Professional		$317.02	$488.52	$685.79
United Facility/Professional Professional Modifier Low / Median / High Price $314.39 / $515.20 / $592.00	Professional		$314.39	$515.20	$592.00