Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $83.88 / $83.88	Facility		$83.88	$83.88	$83.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $128.77 / $191.00	Professional		$62.31	$128.77	$191.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $58.89 / $181.93	Professional		$58.89	$58.89	$181.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $58.89 / $58.89	Facility		$58.89	$58.89	$58.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $81.02 / $181.93	Professional		$58.89	$81.02	$181.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $245.05 / $268.18	Facility		$58.89	$245.05	$268.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $110.45 / $217.56	Professional		$38.90	$110.45	$217.56
United Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $192.27 / $320.05	Professional		$161.19	$192.27	$320.05