Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $236.09 / $388.56	Professional		$217.47	$236.09	$388.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $117.78 / $359.12	Professional		$117.78	$117.78	$359.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.78 / $117.78 / $117.78	Facility	26	$117.78	$117.78	$117.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.94 / $359.12 / $359.12	Professional		$298.94	$359.12	$359.12
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $117.78 / $117.78 / $117.78	Facility	26	$117.78	$117.78	$117.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.89 / $315.77 / $482.30	Professional		$222.89	$315.77	$482.30
United Facility/Professional Professional Modifier Low / Median / High Price $283.88 / $356.36 / $634.55	Professional		$283.88	$356.36	$634.55