Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.49 / $608.71 / $608.71	Professional		$175.49	$608.71	$608.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.82 / $213.82 / $213.82	Professional		$213.82	$213.82	$213.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $229.90 / $229.90	Facility		$171.65	$229.90	$229.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $186.96 / $229.90	Professional		$171.65	$186.96	$229.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $218.95 / $229.90	Facility		$164.38	$218.95	$229.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $172.55 / $230.06	Professional		$171.65	$172.55	$230.06
United Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $96.36 / $148.49	Professional		$87.09	$96.36	$148.49