Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.75 / $136.71 / $206.41	Professional		$122.75	$136.71	$206.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.42 / $212.42 / $212.42	Professional		$212.42	$212.42	$212.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.74 / $208.74 / $252.50	Facility		$208.74	$208.74	$252.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $177.43 / $563.99	Professional		$108.40	$177.43	$563.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.74 / $130.53 / $212.42	Facility		$109.74	$130.53	$212.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $211.37 / $325.14	Professional		$128.75	$211.37	$325.14
United Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $224.47 / $263.17	Professional		$185.76	$224.47	$263.17