Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.80 / $262.80 / $262.80	Facility		$262.80	$262.80	$262.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $132.15 / $245.83	Professional		$113.84	$132.15	$245.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.48 / $203.48 / $231.35	Professional		$203.48	$203.48	$231.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.48 / $203.48 / $203.48	Facility		$203.48	$203.48	$203.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $183.13 / $243.28	Professional		$105.45	$183.13	$243.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $139.52 / $203.48	Facility		$101.61	$139.52	$203.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $203.83 / $291.89	Professional		$129.33	$203.83	$291.89
United Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $231.98 / $260.47	Professional		$186.02	$231.98	$260.47