Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $179.61 / $396.84	Professional		$85.67	$179.61	$396.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $154.06 / $381.21	Professional		$154.06	$154.06	$381.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.06 / $154.06 / $154.06	Facility		$154.06	$154.06	$154.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $160.05 / $381.21	Professional		$97.88	$160.05	$381.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $95.01 / $292.50	Facility		$28.97	$95.01	$292.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.19 / $235.57 / $394.69	Professional		$99.19	$235.57	$394.69
United Facility/Professional Facility Modifier Low / Median / High Price $282.45 / $282.45 / $600.00	Facility		$282.45	$282.45	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.84 / $387.44 / $447.56	Professional		$331.84	$387.44	$447.56