Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $145.43 / $279.95	Professional		$85.33	$145.43	$279.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $145.12 / $266.58	Professional		$145.12	$145.12	$266.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.12 / $145.12 / $145.12	Facility		$145.12	$145.12	$145.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $162.63 / $360.00	Professional		$93.58	$162.63	$360.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $152.61 / $270.70	Facility		$94.17	$152.61	$270.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $230.52 / $428.92	Professional		$123.35	$230.52	$428.92
United Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $246.23 / $319.76	Professional		$208.21	$246.23	$319.76