Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.62 / $186.90 / $280.80	Facility		$158.62	$186.90	$280.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $144.26 / $181.81	Professional		$134.83	$144.26	$181.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $77.83 / $126.37	Facility		$21.15	$77.83	$126.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $86.75 / $135.94	Professional		$57.26	$86.75	$135.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $92.50 / $148.32	Facility		$76.09	$92.50	$148.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
United Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $158.62 / $158.91	Professional		$149.65	$158.62	$158.91