Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $166.78 / $193.52	Facility		$105.55	$166.78	$193.52
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $244.15 / $244.15 / $244.15	Facility	25	$244.15	$244.15	$244.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $125.25 / $302.68	Professional		$79.78	$125.25	$302.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $68.61 / $128.33 / $328.08	Professional	25	$68.61	$128.33	$328.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $149.72 / $176.14	Professional		$128.30	$149.72	$176.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.06 / $128.30 / $176.14	Facility		$109.06	$128.30	$176.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $128.30 / $178.79	Professional		$80.09	$128.30	$178.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $108.89 / $190.38	Facility		$68.59	$108.89	$190.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $164.26 / $263.89	Professional		$85.52	$164.26	$263.89
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $169.68 / $209.07	Professional		$110.30	$169.68	$209.07