Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $115.61 / $159.46	Professional		$86.89	$115.61	$159.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $169.31 / $190.34	Professional		$110.05	$169.31	$190.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.31 / $190.34 / $190.34	Facility		$169.31	$190.34	$190.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $151.38 / $192.31	Professional		$94.00	$151.38	$192.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $122.82 / $172.72	Facility		$104.40	$122.82	$172.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $148.99 / $244.09	Professional		$101.00	$148.99	$244.09
United Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $184.80 / $242.52	Professional		$116.57	$184.80	$242.52