Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $173.53 / $341.42	Professional		$105.06	$173.53	$341.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.36 / $170.36 / $256.06	Professional		$170.36	$170.36	$256.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.36 / $170.36 / $170.36	Facility		$170.36	$170.36	$170.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $184.07 / $268.48	Professional		$121.15	$184.07	$268.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.20 / $125.09 / $170.36	Facility		$84.20	$125.09	$170.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $203.10 / $318.31	Professional		$145.21	$203.10	$318.31
United Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $277.79 / $370.26	Professional		$236.12	$277.79	$370.26