Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $64.01 / $116.20	Professional		$28.60	$64.01	$116.20
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 $40.67 / $47.85 / $112.52	Professional		$40.67	$47.85	$112.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $47.85 / $47.85	Facility		$47.85	$47.85	$47.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $47.85 / $112.52	Professional		$40.67	$47.85	$112.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $47.85 / $108.61	Facility		$27.33	$47.85	$108.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $69.23 / $137.60	Professional		$40.67	$69.23	$137.60
United Facility/Professional Professional Modifier Low / Median / High Price $108.12 / $120.36 / $132.60	Professional		$108.12	$120.36	$132.60