Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $171.21 / $639.23	Professional		$87.60	$171.21	$639.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $142.28 / $196.65	Professional		$129.35	$142.28	$196.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.35 / $129.35 / $129.35	Facility		$129.35	$129.35	$129.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $129.35 / $207.77	Professional		$78.45	$129.35	$207.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $103.12 / $162.60	Facility		$64.27	$103.12	$162.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $153.09 / $239.25	Professional		$93.43	$153.09	$239.25
United Facility/Professional Professional Modifier Low / Median / High Price $158.12 / $194.88 / $222.72	Professional		$158.12	$194.88	$222.72