Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $134.88 / $959.60	Professional		$77.17	$134.88	$959.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $148.80 / $282.35	Professional		$148.80	$148.80	$282.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $148.80	Facility		$148.80	$148.80	$148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $160.63 / $282.35	Professional		$97.64	$160.63	$282.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.86 / $128.08 / $220.71	Facility		$64.86	$128.08	$220.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $174.04 / $290.08	Professional		$96.39	$174.04	$290.08
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.87 / $293.47 / $339.01	Professional		$253.87	$293.47	$339.01