Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $113.56 / $151.63	Professional		$97.04	$113.56	$151.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $167.73 / $167.73	Professional		$150.96	$167.73	$167.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.73 / $167.73 / $199.38	Facility		$167.73	$167.73	$199.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $150.96 / $443.13	Professional		$109.02	$150.96	$443.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.92 / $121.29 / $206.20	Facility		$94.92	$121.29	$206.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $167.73 / $254.39	Professional		$108.73	$167.73	$254.39
United Facility/Professional Professional Modifier Low / Median / High Price $155.52 / $189.24 / $253.98	Professional		$155.52	$189.24	$253.98