Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $177.89 / $177.89	Professional		$177.89	$177.89	$177.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.18 / $248.18 / $248.18	Professional		$248.18	$248.18	$248.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $248.18 / $248.18	Facility		$248.18	$248.18	$248.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.53 / $248.18 / $261.25	Professional		$208.53	$248.18	$261.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $248.18 / $248.18	Facility		$248.18	$248.18	$248.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $224.20 / $329.70	Professional		$152.37	$224.20	$329.70
United Facility/Professional Professional Modifier Low / Median / High Price $242.77 / $295.13 / $427.35	Professional		$242.77	$295.13	$427.35