Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $435.45 / $435.45	Professional		$125.54	$435.45	$435.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $152.66 / $152.66	Professional		$152.66	$152.66	$152.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $164.15 / $164.15	Facility		$100.03	$164.15	$164.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $133.49 / $164.15	Professional		$100.03	$133.49	$164.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.01 / $156.33 / $164.15	Facility		$77.01	$156.33	$164.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $123.20 / $164.27	Professional		$100.03	$123.20	$164.27
United Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $68.92 / $106.19	Professional		$62.28	$68.92	$106.19