Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $169.58 / $943.89	Professional		$141.75	$169.58	$943.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $87.81 / $261.85	Professional		$87.81	$87.81	$261.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.72 / $261.85 / $323.70	Facility		$178.72	$261.85	$323.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $219.17 / $360.82	Professional		$124.30	$219.17	$360.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.49 / $215.52 / $310.66	Facility		$160.49	$215.52	$310.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $261.85 / $424.03	Professional		$165.63	$261.85	$424.03
United Facility/Professional Professional Modifier Low / Median / High Price $143.07 / $166.01 / $291.54	Professional		$143.07	$166.01	$291.54