Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.33 / $348.26 / $432.23	Professional		$286.33	$348.26	$432.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.23 / $630.42 / $730.86	Professional		$621.23	$630.42	$730.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.42 / $630.42 / $730.86	Facility		$630.42	$630.42	$730.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $630.42 / $730.86	Professional		$418.11	$630.42	$730.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.58 / $412.04 / $631.25	Facility		$350.58	$412.04	$631.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $654.15 / $1,012.00	Professional		$418.11	$654.15	$1,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.04 / $664.11 / $790.06	Professional		$561.04	$664.11	$790.06