Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $93.54 / $187.58	Professional		$84.42	$93.54	$187.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $157.74 / $180.35	Professional		$157.74	$157.74	$180.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.74 / $157.74 / $157.74	Facility		$157.74	$157.74	$157.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $119.22 / $188.57	Professional		$104.43	$119.22	$188.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.77 / $111.48 / $157.74	Facility		$51.77	$111.48	$157.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $142.19 / $188.57	Professional		$102.70	$142.19	$188.57
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $190.23 / $219.75	Professional		$170.55	$190.23	$219.75