Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.31 / $264.47 / $1,539.99	Professional		$210.31	$264.47	$1,539.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.78 / $462.78 / $462.78	Professional		$462.78	$462.78	$462.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $497.58 / $497.58	Facility		$252.60	$497.58	$497.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $497.58 / $497.58	Professional		$252.60	$497.58	$497.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.18 / $473.89 / $497.58	Facility		$223.18	$473.89	$497.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.46 / $381.73 / $508.03	Professional		$373.46	$381.73	$508.03
United Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $199.71 / $305.62	Professional		$180.50	$199.71	$305.62