Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $133.37 / $329.62	Professional		$100.37	$133.37	$329.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.92 / $207.69 / $207.69	Professional		$186.92	$207.69	$207.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.69 / $207.69 / $207.69	Facility		$207.69	$207.69	$207.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $187.39 / $293.18	Professional		$129.72	$187.39	$293.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.61 / $152.00 / $254.27	Facility		$96.61	$152.00	$254.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $227.45 / $355.81	Professional		$138.80	$227.45	$355.81
United Facility/Professional Professional Modifier Low / Median / High Price $182.36 / $221.16 / $250.25	Professional		$182.36	$221.16	$250.25