Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $106.18 / $177.69	Professional		$87.17	$106.18	$177.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $140.38 / $140.38	Professional		$52.05	$140.38	$140.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.05 / $52.05 / $64.34	Facility	26	$52.05	$52.05	$64.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $140.38 / $197.24	Professional		$97.44	$140.38	$197.24
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $52.05 / $52.05 / $64.34	Facility	26	$52.05	$52.05	$64.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $153.07 / $238.10	Professional		$92.88	$153.07	$238.10
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $94.76 / $161.62	Professional		$92.03	$94.76	$161.62