Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $82.81 / $163.63	Professional		$57.72	$82.81	$163.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $119.15 / $158.79	Professional		$108.31	$119.15	$158.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $108.31 / $108.31	Facility		$108.31	$108.31	$108.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $108.31 / $166.45	Professional		$64.56	$108.31	$166.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.44 / $83.21 / $130.11	Facility		$53.44	$83.21	$130.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $128.52 / $193.88	Professional		$76.01	$128.52	$193.88
United Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $157.91 / $186.11	Professional		$135.13	$157.91	$186.11