Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $193.55 / $332.50	Professional		$127.50	$193.55	$332.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.87 / $190.87 / $384.89	Professional		$190.87	$190.87	$384.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.87 / $190.87 / $190.87	Facility		$190.87	$190.87	$190.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.87 / $210.10 / $327.67	Professional		$190.87	$210.10	$327.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.56 / $343.85 / $371.91	Facility		$118.56	$343.85	$371.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $211.00 / $327.67	Professional		$123.03	$211.00	$327.67
United Facility/Professional Professional Modifier Low / Median / High Price $269.79 / $340.20 / $560.55	Professional		$269.79	$340.20	$560.55