Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $114.99 / $310.04	Professional		$92.66	$114.99	$310.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $181.40 / $181.40	Professional		$163.26	$181.40	$181.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.40 / $181.40 / $181.40	Facility		$181.40	$181.40	$181.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $163.26 / $255.70	Professional		$111.54	$163.26	$255.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.66 / $133.00 / $217.58	Facility		$84.66	$133.00	$217.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $196.13 / $310.88	Professional		$121.27	$196.13	$310.88
United Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $190.23 / $219.69	Professional		$152.10	$190.23	$219.69