Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $144.00 / $212.77	Professional		$63.00	$144.00	$212.77
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.77 / $174.39 / $176.57	Professional	25	$91.77	$174.39	$176.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $145.65 / $234.51	Professional		$131.08	$145.65	$234.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $131.09 / $234.51	Professional		$50.00	$131.09	$234.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $90.00 / $183.44	Facility		$63.08	$90.00	$183.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $149.36 / $236.71	Professional		$97.09	$149.36	$236.71
United Facility/Professional Professional Modifier Low / Median / High Price $207.27 / $236.88 / $283.41	Professional		$207.27	$236.88	$283.41