Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.53 / $357.51 / $445.56	Professional		$163.53	$357.51	$445.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $205.06 / $439.04	Professional		$205.06	$205.06	$439.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $205.06 / $205.06	Facility		$205.06	$205.06	$205.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.55 / $205.06 / $472.15	Professional		$196.55	$205.06	$472.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $687.05 / $747.62	Facility		$205.06	$687.05	$747.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $281.12 / $535.11	Professional		$138.10	$281.12	$535.11
United Facility/Professional Professional Modifier Low / Median / High Price $451.02 / $539.07 / $787.17	Professional		$451.02	$539.07	$787.17