Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $122.91 / $165.80	Professional		$63.27	$122.91	$165.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $130.13 / $176.51	Professional		$130.13	$130.13	$176.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $168.78 / $220.58	Professional		$130.13	$168.78	$220.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $88.62 / $119.67	Facility		$84.19	$88.62	$119.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $134.91 / $201.12	Professional		$97.44	$134.91	$201.12
United Facility/Professional Professional Modifier Low / Median / High Price $182.87 / $210.59 / $251.45	Professional		$182.87	$210.59	$251.45