Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $318.26 / $385.79	Professional		$270.39	$318.26	$385.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.86 / $608.35 / $675.13	Professional		$573.86	$608.35	$675.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.35 / $608.35 / $675.13	Facility		$608.35	$608.35	$675.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $608.35 / $675.13	Professional		$378.23	$608.35	$675.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.59 / $375.39 / $608.35	Facility		$328.59	$375.39	$608.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $646.02 / $899.40	Professional		$378.23	$646.02	$899.40
United Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $592.17 / $704.48	Professional		$490.08	$592.17	$704.48