Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $119.48 / $119.48	Professional		$119.48	$119.48	$119.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $30.93 / $30.93	Professional		$30.93	$30.93	$30.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $304.58	Facility		$126.72	$126.72	$304.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $304.58 / $304.58	Professional		$126.72	$304.58	$304.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $300.93 / $524.75	Facility		$126.72	$300.93	$524.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $304.58 / $304.58	Professional		$126.72	$304.58	$304.58
United Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $111.19 / $185.37	Professional		$111.19	$111.19	$185.37