Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $423.83 / $423.83	Professional		$122.19	$423.83	$423.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $110.17 / $110.17	Professional		$110.17	$110.17	$110.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $118.45 / $118.45	Facility		$68.84	$118.45	$118.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $118.45 / $118.45	Professional		$68.84	$118.45	$118.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.42 / $112.81 / $118.45	Facility		$61.42	$112.81	$118.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $90.88 / $129.72	Professional		$88.91	$90.88	$129.72
United Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $54.96 / $87.17	Professional		$49.67	$54.96	$87.17