Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $277.08 / $304.79	Professional		$277.08	$277.08	$304.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.90 / $395.90 / $395.90	Professional		$395.90	$395.90	$395.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $426.63 / $426.63	Facility		$301.51	$426.63	$426.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $426.63 / $426.63	Professional		$301.51	$426.63	$426.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.29 / $301.51 / $426.63	Facility		$163.29	$301.51	$426.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.61 / $301.51 / $426.63	Professional		$232.61	$301.51	$426.63
United Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $220.78 / $350.16	Professional		$207.82	$220.78	$350.16