Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $218.93 / $218.93	Facility		$140.99	$218.93	$218.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $141.83 / $196.60	Professional		$140.99	$141.83	$196.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.93 / $750.28 / $1,260.31	Facility		$210.93	$750.28	$1,260.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Facility		$140.99	$140.99	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.62 / $140.99 / $140.99	Facility		$140.62	$140.99	$140.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99