Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $358.21 / $358.21	Professional		$48.92	$358.21	$358.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $125.53 / $125.53	Professional		$125.53	$125.53	$125.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $134.97 / $134.97	Facility		$70.98	$134.97	$134.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $134.97 / $134.97	Professional		$70.98	$134.97	$134.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $128.54 / $134.97	Facility		$63.34	$128.54	$134.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $101.30 / $135.07	Professional		$70.98	$101.30	$135.07
United Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $56.68 / $86.73	Professional		$51.23	$56.68	$86.73