Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $331.07 / $331.07	Facility		$213.84	$331.07	$331.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.97 / $271.58	Professional		$213.84	$215.97	$271.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.28 / $206.28 / $250.43	Professional		$206.28	$206.28	$250.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Facility		$213.84	$213.84	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.86 / $213.84 / $213.84	Facility		$209.86	$213.84	$213.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84