Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.64 / $768.74 / $768.74	Professional		$221.64	$768.74	$768.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $198.67 / $198.67	Professional		$198.67	$198.67	$198.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $213.61 / $213.61	Facility		$172.35	$213.61	$213.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $177.52 / $213.61	Professional		$172.35	$177.52	$213.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.41 / $203.44 / $213.61	Facility		$111.41	$203.44	$213.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $172.35 / $213.77	Professional		$160.33	$172.35	$213.77
United Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $150.19 / $157.84	Facility		$150.19	$150.19	$157.84
United Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $99.69 / $153.62	Professional		$90.10	$99.69	$153.62