Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $117.82 / $200.72	Professional		$105.39	$117.82	$200.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $204.54 / $204.54	Professional		$204.54	$204.54	$204.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $204.54 / $223.93	Professional		$115.76	$204.54	$223.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.39 / $132.81 / $253.63	Facility		$105.39	$132.81	$253.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $210.83 / $329.09	Professional		$126.49	$210.83	$329.09
United Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $223.95 / $357.04	Professional		$183.84	$223.95	$357.04