Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $486.36 / $486.36	Professional		$66.42	$486.36	$486.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Professional		$170.54	$170.54	$170.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $183.36 / $183.36	Facility		$116.46	$183.36	$183.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $149.11 / $183.36	Professional		$116.46	$149.11	$183.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $174.63 / $183.36	Facility		$86.02	$174.63	$183.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $137.63 / $183.50	Professional		$116.46	$137.63	$183.50
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $76.97 / $88.11	Professional		$69.56	$76.97	$88.11