Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $106.09 / $173.60	Professional		$83.64	$106.09	$173.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $148.80 / $172.46	Professional		$148.80	$148.80	$172.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $148.80 / $172.46	Facility		$126.48	$148.80	$172.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $148.80 / $214.52	Professional		$94.00	$148.80	$214.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $123.38 / $206.83	Facility		$80.30	$123.38	$206.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $178.48 / $268.63	Professional		$107.08	$178.48	$268.63
United Facility/Professional Professional Modifier Low / Median / High Price $155.52 / $184.20 / $212.10	Professional		$155.52	$184.20	$212.10