Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $500.88 / $624.07	Facility		$186.90	$500.88	$624.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $184.73 / $243.84	Professional		$149.60	$184.73	$243.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.64 / $1,256.54 / $2,154.85	Facility		$360.64	$1,256.54	$2,154.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $205.31 / $209.38	Professional		$152.08	$205.31	$209.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $174.44 / $174.44	Facility		$168.30	$174.44	$174.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
United Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $186.90 / $186.90	Professional		$176.00	$186.90	$186.90