Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $158.90 / $650.20	Professional		$116.29	$158.90	$650.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $135.50	Professional		$135.50	$135.50	$135.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $171.90 / $576.38	Facility		$146.62	$171.90	$576.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $146.62 / $146.62	Professional		$146.62	$146.62	$146.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $171.90 / $576.38	Facility		$146.62	$171.90	$576.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $91.01 / $146.62	Professional		$91.01	$91.01	$146.62
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $42.47 / $101.12	Professional		$42.47	$42.47	$101.12