Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $190.55 / $363.08	Facility		$134.90	$190.55	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $173.78	Professional		$123.03	$125.89	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $151.36	Professional		$138.04	$138.04	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $234.42 / $416.87	Facility		$117.49	$234.42	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $131.83	Professional		$123.03	$123.03	$131.83