Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $129.97 / $1,080.00	Professional		$93.16	$129.97	$1,080.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.23 / $239.23 / $239.23	Professional		$239.23	$239.23	$239.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $257.22 / $257.22	Facility		$135.22	$257.22	$257.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $257.22 / $257.22	Professional		$135.22	$257.22	$257.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.66 / $244.97 / $257.22	Facility		$120.66	$244.97	$257.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $193.06 / $257.41	Professional		$135.22	$193.06	$257.41
United Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $107.97 / $165.22	Professional		$97.58	$107.97	$165.22