Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $157.16 / $562.00	Professional		$137.84	$157.16	$562.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $55.21 / $245.02	Professional		$55.21	$55.21	$245.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.21 / $55.21 / $65.63	Facility	26	$55.21	$55.21	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $245.02 / $342.08	Professional		$139.72	$245.02	$342.08
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $55.21 / $55.21 / $65.63	Facility	26	$55.21	$55.21	$65.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $253.96 / $423.19	Professional		$163.31	$253.96	$423.19
United Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $248.59 / $290.39	Professional		$206.48	$248.59	$290.39