Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $139.57 / $279.75	Professional		$94.95	$139.57	$279.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $147.22 / $147.22	Professional		$44.17	$147.22	$147.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.17 / $44.17 / $54.60	Facility	26	$44.17	$44.17	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $147.22 / $211.18	Professional		$97.42	$147.22	$211.18
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $44.17 / $44.17 / $54.60	Facility	26	$44.17	$44.17	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $161.44 / $253.38	Professional		$98.84	$161.44	$253.38
United Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $100.29 / $165.91	Professional		$97.39	$100.29	$165.91