Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $147.27 / $216.70	Professional		$109.68	$147.27	$216.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.39 / $255.01 / $255.01	Professional		$191.39	$255.01	$255.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.39 / $255.01 / $255.01	Facility		$191.39	$255.01	$255.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $193.38 / $277.86	Professional		$162.68	$193.38	$277.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $150.52 / $255.01	Facility		$110.99	$150.52	$255.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $193.38 / $327.95	Professional		$118.08	$193.38	$327.95
United Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $275.19 / $346.46	Professional		$220.80	$275.19	$346.46