Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.69 / $486.69 / $486.69	Professional		$486.69	$486.69	$486.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $90.03 / $90.03	Professional		$90.03	$90.03	$90.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $356.59	Facility		$356.59	$356.59	$356.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $356.59 / $1,035.96	Professional		$58.89	$356.59	$1,035.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $356.59 / $852.91	Facility		$66.48	$356.59	$852.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $356.59 / $1,035.96	Professional		$58.89	$356.59	$1,035.96
United Facility/Professional Professional Modifier Low / Median / High Price $367.90 / $367.90 / $429.21	Professional		$367.90	$367.90	$429.21