Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $135.28 / $643.22	Professional		$105.70	$135.28	$643.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.02 / $194.02 / $194.02	Professional		$194.02	$194.02	$194.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.02 / $194.02 / $194.02	Facility		$194.02	$194.02	$194.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $194.02 / $364.03	Professional		$122.29	$194.02	$364.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $183.79 / $240.18	Facility		$143.50	$183.79	$240.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $219.40 / $331.55	Professional		$129.96	$219.40	$331.55
United Facility/Professional Professional Modifier Low / Median / High Price $177.48 / $208.80 / $245.69	Professional		$177.48	$208.80	$245.69