Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $103.67 / $147.52	Professional		$90.28	$103.67	$147.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $172.46 / $190.87	Professional		$172.46	$172.46	$190.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.46 / $172.46 / $172.46	Facility		$172.46	$172.46	$172.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.61 / $121.68 / $196.72	Professional		$111.61	$121.68	$196.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $116.52 / $172.46	Facility		$68.34	$116.52	$172.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $155.30 / $204.36	Professional		$112.16	$155.30	$204.36
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 $172.84 / $197.79 / $238.71	Professional		$172.84	$197.79	$238.71