Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.76 / $932.51 / $932.51	Professional		$172.76	$932.51	$932.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $269.20 / $269.20	Professional		$269.20	$269.20	$269.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.20 / $269.20 / $269.20	Facility		$269.20	$269.20	$269.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.02 / $269.20 / $269.20	Professional		$203.02	$269.20	$269.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.93 / $164.91 / $269.20	Facility		$131.93	$164.91	$269.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.93 / $250.41 / $361.20	Professional		$166.93	$250.41	$361.20
United Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $299.27 / $474.52	Professional		$242.52	$299.27	$474.52