Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $225.00 / $225.00	Professional		$64.87	$225.00	$225.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $101.53	Professional		$101.53	$101.53	$101.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $109.17 / $109.17	Facility		$48.73	$109.17	$109.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $88.78 / $109.17	Professional		$48.73	$88.78	$109.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $103.97 / $109.17	Facility		$43.47	$103.97	$109.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $81.94 / $109.25	Professional		$48.73	$81.94	$109.25
United Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $38.90 / $59.95	Professional		$35.15	$38.90	$59.95