Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.51 / $837.66 / $837.66	Professional		$241.51	$837.66	$837.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.05 / $237.05 / $237.05	Professional		$237.05	$237.05	$237.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $254.88 / $254.88	Facility		$140.85	$254.88	$254.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $254.88 / $254.88	Professional		$140.85	$254.88	$254.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.39 / $242.74 / $254.88	Facility		$121.39	$242.74	$254.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.30 / $195.54 / $276.33	Professional		$191.30	$195.54	$276.33
United Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $108.63 / $172.28	Professional		$98.18	$108.63	$172.28