Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $127.80 / $153.00	Professional		$75.05	$127.80	$153.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.33 / $126.79 / $141.51	Professional	25	$71.33	$126.79	$141.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $117.25 / $198.23	Professional		$105.53	$117.25	$198.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $117.25 / $198.23	Professional		$50.00	$117.25	$198.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $82.50 / $149.26	Facility		$54.16	$82.50	$149.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $120.24 / $200.04	Professional		$78.16	$120.24	$200.04
United Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $198.80 / $237.85	Professional		$163.30	$198.80	$237.85