Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $115.79 / $127.38	Professional		$115.79	$115.79	$127.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $188.28 / $188.28	Professional		$188.28	$188.28	$188.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $202.44 / $202.44	Facility		$138.33	$202.44	$202.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $202.44 / $202.44	Professional		$138.33	$202.44	$202.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.49 / $192.80 / $202.44	Facility		$107.49	$192.80	$202.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $155.31 / $208.99	Professional		$151.94	$155.31	$208.99
United Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $96.19 / $147.19	Professional		$86.93	$96.19	$147.19