Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $66.34 / $373.00	Professional		$62.28	$66.34	$373.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $110.94 / $110.94	Professional		$110.94	$110.94	$110.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.94 / $137.15 / $425.28	Facility		$110.94	$137.15	$425.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $80.64 / $144.60	Professional		$67.34	$80.64	$144.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.97 / $134.09 / $220.47	Facility		$107.97	$134.09	$220.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $95.33 / $132.05	Professional		$67.29	$95.33	$132.05
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.19 / $129.29	Professional		$92.03	$92.19	$129.29