Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $289.00 / $289.00	Professional		$289.00	$289.00	$289.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $10.77 / $10.77	Professional		$10.77	$10.77	$10.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $109.42	Facility		$43.29	$43.29	$109.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $109.42 / $109.42	Professional		$43.29	$109.42	$109.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $110.78 / $193.15	Facility		$43.29	$110.78	$193.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $109.42 / $109.42	Professional		$43.29	$109.42	$109.42
United Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $36.89 / $62.98	Professional		$36.89	$36.89	$62.98