Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $295.77 / $295.77	Professional		$40.40	$295.77	$295.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $103.70 / $103.70	Professional		$103.70	$103.70	$103.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $111.50 / $111.50	Facility		$67.95	$111.50	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $90.66 / $111.50	Professional		$67.95	$90.66	$111.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.32 / $106.19 / $111.50	Facility		$52.32	$106.19	$111.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $83.68 / $111.58	Professional		$67.95	$83.68	$111.58
United Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $46.81 / $53.59	Professional		$42.31	$46.81	$53.59