Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $113.40 / $218.83	Professional		$102.09	$113.40	$218.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.39 / $191.39 / $211.90	Professional		$191.39	$191.39	$211.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.39 / $191.39 / $191.39	Facility		$191.39	$191.39	$191.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $134.28 / $211.90	Professional		$122.38	$134.28	$211.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $124.49 / $191.39	Facility		$84.33	$124.49	$191.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $170.83 / $225.74	Professional		$123.38	$170.83	$225.74
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 $196.04 / $211.12 / $241.28	Professional		$196.04	$211.12	$241.28