Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $140.51 / $613.64	Professional		$83.80	$140.51	$613.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $227.81 / $227.81	Professional		$227.81	$227.81	$227.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $244.94 / $244.94	Facility		$150.11	$244.94	$244.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.11 / $199.20 / $244.94	Professional		$150.11	$199.20	$244.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.58 / $233.28 / $244.94	Facility		$118.58	$233.28	$244.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.11 / $183.84 / $248.31	Professional		$150.11	$183.84	$248.31
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $106.10 / $121.46	Professional		$95.90	$106.10	$121.46