Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $1,176.75 / $1,176.75	Professional		$160.71	$1,176.75	$1,176.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.54 / $412.54 / $412.54	Professional		$412.54	$412.54	$412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $443.56 / $443.56	Facility		$233.26	$443.56	$443.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.26 / $443.56 / $443.56	Professional		$233.26	$443.56	$443.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.12 / $422.44 / $443.56	Facility		$208.12	$422.44	$443.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.54 / $340.30 / $443.89	Professional		$328.54	$340.30	$443.89
United Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $186.23 / $284.99	Professional		$168.32	$186.23	$284.99