Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.86 / $120.86 / $198.70	Facility		$120.86	$120.86	$198.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $54.46 / $136.69	Professional		$24.76	$54.46	$136.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $130.40	Professional		$34.18	$34.18	$130.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Facility		$34.18	$34.18	$34.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $38.10 / $130.40	Professional		$34.18	$38.10	$130.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $61.81 / $126.24	Facility		$19.57	$61.81	$126.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $79.90 / $156.22	Professional		$29.79	$79.90	$156.22
United Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $123.90 / $134.97	Professional		$90.20	$123.90	$134.97