Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.04 / $597.21 / $638.17	Facility		$355.04	$597.21	$638.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.60 / $335.55 / $413.60	Professional		$237.60	$335.55	$413.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.31 / $1,133.41 / $1,943.70	Facility		$325.31	$1,133.41	$1,943.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.04 / $197.38 / $212.34	Professional		$148.04	$197.38	$212.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Facility		$368.58	$368.58	$368.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.61 / $368.58 / $368.58	Facility		$307.61	$368.58	$368.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
United Facility/Professional Professional Modifier Low / Median / High Price $371.87 / $394.76 / $394.91	Professional		$371.87	$394.76	$394.91