Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $394.98 / $707.11	Facility		$174.98	$394.98	$707.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $189.60 / $498.16	Professional		$105.27	$189.60	$498.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.67 / $216.50 / $491.00	Professional	25	$95.67	$216.50	$491.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.57 / $242.24 / $284.98	Professional		$225.57	$242.24	$284.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.73 / $225.57 / $284.98	Facility		$191.73	$225.57	$284.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $203.01 / $290.73	Professional		$115.74	$203.01	$290.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.42 / $151.97 / $254.90	Facility		$100.42	$151.97	$254.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $251.44 / $420.82	Professional		$135.02	$251.44	$420.82
United Facility/Professional Professional Modifier Low / Median / High Price $189.06 / $231.98 / $271.26	Professional		$189.06	$231.98	$271.26