Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $132.13 / $132.13	Professional		$132.13	$132.13	$132.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.24 / $339.24 / $339.24	Professional		$339.24	$339.24	$339.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $364.75 / $364.75	Facility		$192.25	$364.75	$364.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.25 / $296.61 / $364.75	Professional		$192.25	$296.61	$364.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $347.38 / $364.75	Facility		$192.25	$347.38	$364.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.25 / $273.76 / $365.02	Professional		$192.25	$273.76	$365.02
United Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $153.49 / $243.43	Professional		$138.72	$153.49	$243.43