Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $53.07 / $255.00	Professional		$21.03	$53.07	$255.00
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 / $79.40	Professional		$34.18	$34.18	$79.40
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 $29.05 / $34.18 / $79.40	Professional		$29.05	$34.18	$79.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $34.18 / $76.54	Facility		$19.25	$34.18	$76.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $49.17 / $96.64	Professional		$29.05	$49.17	$96.64
United Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $89.10 / $96.65	Professional		$80.02	$89.10	$96.65