Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $128.68 / $458.41	Professional		$78.14	$128.68	$458.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $136.18 / $215.05	Professional		$136.18	$136.18	$215.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Facility		$136.18	$136.18	$136.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $136.18 / $215.05	Professional		$113.58	$136.18	$215.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Facility		$136.18	$136.18	$136.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $143.00 / $255.92	Professional		$91.83	$143.00	$255.92
United Facility/Professional Professional Modifier Low / Median / High Price $209.15 / $262.55 / $376.47	Professional		$209.15	$262.55	$376.47