Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $117.60 / $657.53	Professional		$51.13	$117.60	$657.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $137.03 / $137.03	Professional		$137.03	$137.03	$137.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.28 / $173.84 / $582.88	Facility		$148.28	$173.84	$582.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $148.28 / $148.28	Professional		$148.28	$148.28	$148.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.28 / $173.84 / $582.88	Facility		$148.28	$173.84	$582.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $148.28	Professional		$92.03	$92.03	$148.28
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $102.26	Professional		$42.95	$42.95	$102.26