Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $723.88 / $723.88	Professional		$208.71	$723.88	$723.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.14 / $235.14 / $235.14	Professional		$235.14	$235.14	$235.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $252.82 / $252.82	Facility		$170.64	$252.82	$252.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $205.60 / $252.82	Professional		$170.64	$205.60	$252.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.24 / $240.78 / $252.82	Facility		$134.24	$240.78	$252.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $189.76 / $274.61	Professional		$170.64	$189.76	$274.61
United Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $120.12 / $215.96	Professional		$108.57	$120.12	$215.96