Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.30 / $614.95 / $614.95	Professional		$177.30	$614.95	$614.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.95 / $181.95 / $181.95	Professional		$181.95	$181.95	$181.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $195.64 / $195.64	Facility		$113.25	$195.64	$195.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $159.10 / $195.64	Professional		$113.25	$159.10	$195.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.12 / $186.32 / $195.64	Facility		$89.12	$186.32	$195.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $146.84 / $195.78	Professional		$113.25	$146.84	$195.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $79.75 / $126.48	Professional		$72.08	$79.75	$126.48