Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $156.84 / $725.00	Professional		$124.07	$156.84	$725.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.41 / $283.41 / $420.11	Professional		$283.41	$283.41	$420.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.41 / $283.41 / $283.41	Facility		$283.41	$283.41	$283.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $283.41 / $420.11	Professional		$157.85	$283.41	$420.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $254.93 / $289.05	Facility		$172.77	$254.93	$289.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.47 / $286.85 / $426.51	Professional		$186.47	$286.85	$426.51
United Facility/Professional Facility Modifier Low / Median / High Price $338.17 / $338.17 / $338.17	Facility		$338.17	$338.17	$338.17
United Facility/Professional Professional Modifier Low / Median / High Price $239.99 / $345.67 / $702.24	Professional		$239.99	$345.67	$702.24