Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $104.42 / $541.91	Professional		$60.90	$104.42	$541.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.94 / $189.94 / $189.94	Professional		$189.94	$189.94	$189.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $204.23 / $204.23	Facility		$107.42	$204.23	$204.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $166.09 / $204.23	Professional		$107.42	$166.09	$204.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.84 / $194.50 / $204.23	Facility		$95.84	$194.50	$204.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $153.28 / $204.37	Professional		$107.42	$153.28	$204.37
United Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $91.26 / $107.21	Facility		$91.26	$91.26	$107.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $85.76 / $131.22	Professional		$77.51	$85.76	$131.22