Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.23 / $112.23 / $112.23	Facility		$112.23	$112.23	$112.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $120.56 / $267.55	Professional		$106.39	$120.56	$267.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.28 / $26.28 / $147.68	Professional	25	$26.28	$26.28	$147.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $208.74 / $208.74	Professional		$208.74	$208.74	$208.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.74 / $208.74 / $248.13	Facility		$208.74	$208.74	$248.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $319.75 / $342.88	Professional		$78.29	$319.75	$342.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.74 / $208.74 / $248.13	Facility		$208.74	$208.74	$248.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $174.33 / $319.75	Professional		$120.02	$174.33	$319.75
United Facility/Professional Professional Modifier Low / Median / High Price $171.55 / $211.70 / $233.60	Professional		$171.55	$211.70	$233.60