Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $86.01 / $112.99	Professional		$63.21	$86.01	$112.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.03 / $1.03	Professional		$1.03	$1.03	$1.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $105.00 / $128.82	Professional		$53.00	$105.00	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.30 / $86.65 / $147.37	Facility		$68.30	$86.65	$147.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $85.87 / $128.82	Professional		$22.00	$85.87	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $142.79 / $174.68	Professional		$118.58	$142.79	$174.68