Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $548.26 / $548.26	Professional		$158.07	$548.26	$548.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $192.55 / $192.55	Professional		$192.55	$192.55	$192.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $207.03 / $207.03	Facility		$67.73	$207.03	$207.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $207.03 / $207.03	Professional		$67.73	$207.03	$207.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $197.17 / $207.03	Facility		$67.73	$197.17	$207.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $155.38 / $207.18	Professional		$67.73	$155.38	$207.18
United Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $86.78 / $133.72	Professional		$78.43	$86.78	$133.72