Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $66.59 / $110.62	Professional		$60.06	$66.59	$110.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $209.60 / $209.60 / $245.55	Professional	25	$209.60	$209.60	$245.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $110.94 / $112.00	Professional		$95.20	$110.94	$112.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.30 / $110.94 / $112.00	Facility		$94.30	$110.94	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $110.94 / $160.94	Professional		$69.23	$110.94	$160.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $68.50 / $110.94	Facility		$54.56	$68.50	$110.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $123.69 / $190.48	Professional		$75.01	$123.69	$190.48
United Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $122.38 / $141.08	Professional		$101.28	$122.38	$141.08