Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.78 / $548.78 / $548.78	Facility		$548.78	$548.78	$548.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $82.29 / $479.27	Professional		$75.15	$82.29	$479.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.53 / $428.53 / $428.53	Professional		$428.53	$428.53	$428.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.53 / $428.53 / $509.38	Facility		$428.53	$428.53	$509.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $428.53 / $1,018.09	Professional		$99.42	$428.53	$1,018.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.25 / $270.39 / $428.53	Facility		$79.25	$270.39	$428.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $391.04 / $676.45	Professional		$99.54	$391.04	$676.45
United Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $130.38 / $768.67	Professional		$114.92	$130.38	$768.67