Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $177.00 / $269.12	Professional		$163.25	$177.00	$269.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $140.38 / $255.54	Professional		$140.38	$140.38	$255.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.38 / $140.38 / $166.88	Facility	26	$140.38	$140.38	$166.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.31 / $229.99 / $358.33	Professional		$164.31	$229.99	$358.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $140.38 / $140.38 / $166.88	Facility	26	$140.38	$140.38	$166.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $252.88 / $403.38	Professional		$160.47	$252.88	$403.38
United Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $265.49 / $297.70	Professional		$229.50	$265.49	$297.70