Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $189.40 / $926.63	Professional		$149.97	$189.40	$926.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $288.14 / $288.14	Professional		$288.14	$288.14	$288.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.14 / $288.14 / $288.14	Facility		$288.14	$288.14	$288.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $288.14 / $288.14	Professional		$187.51	$288.14	$288.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.54 / $294.45 / $311.82	Facility		$141.54	$294.45	$311.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.34 / $263.02 / $379.40	Professional		$175.34	$263.02	$379.40
United Facility/Professional Professional Modifier Low / Median / High Price $239.70 / $295.80 / $505.04	Professional		$239.70	$295.80	$505.04