Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $124.66 / $312.64	Facility		$53.20	$124.66	$312.64
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $112.55 / $112.55 / $351.34	Facility	25	$112.55	$112.55	$351.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $137.58 / $331.83	Professional		$73.81	$137.58	$331.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.97 / $135.33 / $336.35	Professional	25	$66.97	$135.33	$336.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $94.50 / $94.50	Professional	50	$94.50	$94.50	$94.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $172.07 / $202.43	Professional		$151.96	$172.07	$202.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $151.96 / $202.43	Facility		$129.16	$151.96	$202.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $141.18 / $205.78	Professional		$79.02	$141.18	$205.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $109.51 / $189.75	Facility		$66.28	$109.51	$189.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $178.20 / $297.95	Professional		$92.52	$178.20	$297.95
United Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $172.14 / $205.01	Professional		$138.22	$172.14	$205.01