Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $133.91 / $291.54	Professional		$86.63	$133.91	$291.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.57 / $174.57 / $279.73	Professional		$174.57	$174.57	$279.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.57 / $174.57 / $174.57	Facility		$174.57	$174.57	$174.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $174.57 / $279.73	Professional		$110.83	$174.57	$279.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.33 / $174.57 / $700.00	Facility		$69.33	$174.57	$700.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.51 / $178.53 / $283.08	Professional		$112.51	$178.53	$283.08
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.22 / $284.77 / $343.70	Professional		$245.22	$284.77	$343.70