Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $286.87 / $647.28	Professional		$196.11	$286.87	$647.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $123.04 / $412.75	Professional		$123.04	$123.04	$412.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.04 / $123.04 / $152.10	Facility	26	$123.04	$123.04	$152.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.99 / $412.75 / $591.14	Professional		$181.99	$412.75	$591.14
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $123.04 / $123.04 / $152.10	Facility	26	$123.04	$123.04	$152.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.75 / $456.87 / $711.61	Professional		$274.75	$456.87	$711.61
United Facility/Professional Professional Modifier Low / Median / High Price $208.70 / $278.25 / $488.66	Professional		$208.70	$278.25	$488.66