Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $443.02 / $443.02	Professional		$127.72	$443.02	$443.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $199.92 / $199.92	Professional		$199.92	$199.92	$199.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $214.95 / $214.95	Facility		$99.32	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $174.80 / $214.95	Professional		$99.32	$174.80	$214.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.60 / $204.71 / $214.95	Facility		$85.60	$204.71	$214.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $161.33 / $215.11	Professional		$99.32	$161.33	$215.11
United Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $76.59 / $118.04	Professional		$69.23	$76.59	$118.04