Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $141.37 / $737.74	Professional		$118.74	$141.37	$737.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.58 / $215.58 / $215.58	Professional		$215.58	$215.58	$215.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.58 / $249.37 / $437.87	Facility		$215.58	$249.37	$437.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $200.30 / $452.46	Professional		$138.41	$200.30	$452.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $210.93 / $300.70	Facility		$120.83	$210.93	$300.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $235.65 / $369.28	Professional		$146.85	$235.65	$369.28
United Facility/Professional Professional Modifier Low / Median / High Price $196.49 / $236.59 / $294.70	Professional		$196.49	$236.59	$294.70