Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $161.59 / $686.49	Professional		$122.81	$161.59	$686.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $211.37 / $291.82	Professional		$179.67	$211.37	$291.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.37 / $211.37 / $211.37	Facility		$211.37	$211.37	$211.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.21 / $216.35 / $295.07	Professional		$140.21	$216.35	$295.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $141.50 / $194.56	Facility		$102.94	$141.50	$194.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $243.20 / $355.60	Professional		$168.76	$243.20	$355.60
United Facility/Professional Professional Modifier Low / Median / High Price $250.91 / $289.57 / $325.77	Professional		$250.91	$289.57	$325.77