Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $295.82 / $295.82	Facility		$193.76	$295.82	$295.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $265.64	Professional		$193.76	$193.76	$265.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.47 / $994.06 / $1,669.80	Facility		$279.47	$994.06	$1,669.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Facility		$193.76	$193.76	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.31 / $193.76 / $193.76	Facility		$186.31	$193.76	$193.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76