Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $177.74 / $331.33	Professional		$136.25	$177.74	$331.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.01 / $255.01 / $320.74	Professional		$255.01	$255.01	$320.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.01 / $255.01 / $255.01	Facility		$255.01	$255.01	$255.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.78 / $205.95 / $331.16	Professional		$165.78	$205.95	$331.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $174.05 / $255.01	Facility		$126.03	$174.05	$255.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.14 / $243.50 / $331.16	Professional		$166.14	$243.50	$331.16
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 $297.44 / $331.76 / $383.24	Professional		$297.44	$331.76	$383.24