Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $104.79 / $362.00	Professional		$68.15	$104.79	$362.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $137.22 / $139.34	Professional		$118.44	$137.22	$139.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $137.22 / $165.63	Facility		$137.22	$137.22	$165.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $98.04 / $179.84	Professional		$72.40	$98.04	$179.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.84 / $117.87 / $199.24	Facility		$73.84	$117.87	$199.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $186.60 / $258.05	Professional		$91.60	$186.60	$258.05
United Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $176.40 / $205.11	Professional		$148.05	$176.40	$205.11