Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $371.26 / $371.26	Professional		$107.04	$371.26	$371.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $130.13 / $130.13	Professional		$130.13	$130.13	$130.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $139.91 / $139.91	Facility		$104.66	$139.91	$139.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $139.91 / $139.91	Professional		$104.66	$139.91	$139.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $133.26 / $139.91	Facility		$65.66	$133.26	$139.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $105.02 / $140.03	Professional		$104.66	$105.02	$140.03
United Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $58.76 / $97.93	Professional		$53.11	$58.76	$97.93