Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $507.56 / $507.56	Professional		$69.31	$507.56	$507.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.78 / $167.78 / $167.78	Professional		$167.78	$167.78	$167.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $180.40 / $180.40	Facility		$103.32	$180.40	$180.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $146.69 / $180.40	Professional		$103.32	$146.69	$180.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $171.81 / $180.40	Facility		$73.55	$171.81	$180.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $135.40 / $180.53	Professional		$103.32	$135.40	$180.53
United Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $65.81 / $87.76	Professional		$59.49	$65.81	$87.76