Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $110.91 / $163.97	Professional		$96.31	$110.91	$163.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.58 / $164.58 / $164.58	Professional		$164.58	$164.58	$164.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.58 / $178.46 / $355.13	Facility		$164.58	$178.46	$355.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $139.88 / $441.69	Professional		$88.85	$139.88	$441.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.27 / $128.00 / $243.89	Facility		$93.27	$128.00	$243.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $156.07 / $247.26	Professional		$101.26	$156.07	$247.26
United Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $185.03 / $230.26	Professional		$149.93	$185.03	$230.26