Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.31 / $530.66 / $1,737.97	Professional		$387.31	$530.66	$1,737.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.92 / $507.92 / $518.96	Professional		$507.92	$507.92	$518.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.92 / $507.92 / $507.92	Facility		$507.92	$507.92	$507.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $328.42 / $534.86	Professional		$316.83	$328.42	$534.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $321.89 / $507.92	Facility		$159.63	$321.89	$507.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $436.76 / $597.99	Professional		$308.30	$436.76	$597.99
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 $480.48 / $535.91 / $619.08	Professional		$480.48	$535.91	$619.08