Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $140.72 / $140.72	Facility		$140.72	$140.72	$140.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $127.98 / $140.72	Professional		$39.70	$127.98	$140.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $18.59 / $28.16	Professional		$12.06	$18.59	$28.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $38.71 / $131.35	Facility		$33.26	$38.71	$131.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
United Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $140.74 / $140.74	Professional		$132.53	$140.74	$140.74