Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $41.00 / $55.10	Professional		$31.82	$41.00	$55.10
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,260.00 / $1,260.00 / $1,260.00	Professional	AA	$1,260.00	$1,260.00	$1,260.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $432.00	Professional		$432.00	$432.00	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $354.30 / $450.00	Professional		$270.00	$354.30	$450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $375.00 / $495.12	Professional		$325.00	$375.00	$495.12
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $195.00 / $217.20 / $247.56	Professional	QX	$195.00	$217.20	$247.56
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $195.00 / $217.20 / $247.56	Professional	QY	$195.00	$217.20	$247.56
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $59.00 / $91.00	Professional		$52.00	$59.00	$91.00