Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.85 / $240.85 / $240.85	Facility		$240.85	$240.85	$240.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $260.39 / $688.16	Professional		$161.97	$260.39	$688.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $166.73 / $288.92 / $739.89	Professional	25	$166.73	$288.92	$739.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.93 / $295.87 / $348.08	Professional		$283.93	$295.87	$348.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.34 / $283.93 / $348.08	Facility		$241.34	$283.93	$348.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.10 / $277.61 / $365.66	Professional		$165.10	$277.61	$365.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $208.86 / $364.95	Facility		$140.32	$208.86	$364.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $337.68 / $516.71	Professional		$173.40	$337.68	$516.71
United Facility/Professional Professional Modifier Low / Median / High Price $265.38 / $327.58 / $384.12	Professional		$265.38	$327.58	$384.12
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	25	$80.00	$80.00	$80.00