Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $91.11 / $1,489.35	Facility		$64.93	$91.11	$1,489.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $86.40 / $153.00	Professional		$86.40	$86.40	$153.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.20 / $151.32 / $94,999.99	Facility		$58.20	$151.32	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $58.20 / $58.20	Professional		$58.20	$58.20	$58.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $62.97 / $62.97	Facility		$62.97	$62.97	$62.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $62.97 / $62.97	Professional		$62.97	$62.97	$62.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $62.97 / $62.97	Facility		$62.97	$62.97	$62.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $39.09 / $62.97	Professional		$39.09	$39.09	$62.97
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $43.43	Professional		$18.23	$18.23	$43.43