Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $577.13 / $577.13	Professional		$78.81	$577.13	$577.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.81 / $253.81 / $253.81	Professional		$253.81	$253.81	$253.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $272.89 / $272.89	Facility		$142.94	$272.89	$272.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $221.92 / $272.89	Professional		$142.94	$221.92	$272.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $259.89 / $272.89	Facility		$111.51	$259.89	$272.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $204.82 / $273.10	Professional		$142.94	$204.82	$273.10
United Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $99.79 / $152.69	Professional		$90.19	$99.79	$152.69