Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $227.41 / $358.35	Professional		$147.36	$227.41	$358.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.25 / $229.25 / $350.18	Professional		$229.25	$229.25	$350.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.25 / $229.25 / $229.25	Facility		$229.25	$229.25	$229.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.25 / $240.95 / $363.17	Professional		$229.25	$240.95	$363.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.15 / $419.90 / $433.90	Facility		$141.15	$419.90	$433.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $229.25 / $363.17	Professional		$148.96	$229.25	$363.17
United Facility/Professional Professional Modifier Low / Median / High Price $327.08 / $377.39 / $607.73	Professional		$327.08	$377.39	$607.73