Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.62 / $275.62 / $275.62	Professional		$275.62	$275.62	$275.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Professional		$40.70	$40.70	$40.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $408.28	Facility		$263.45	$263.45	$408.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $408.28 / $408.28	Professional		$263.45	$408.28	$408.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $319.33 / $408.28	Facility		$263.45	$319.33	$408.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $408.28 / $408.28	Professional		$263.45	$408.28	$408.28
United Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $188.58 / $314.30	Professional		$177.32	$188.58	$314.30