Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $59.99 / $172.22	Professional		$28.85	$59.99	$172.22
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 $49.61 / $58.36 / $166.15	Professional		$49.61	$58.36	$166.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.36 / $58.36 / $58.36	Facility		$58.36	$58.36	$58.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $65.65 / $166.15	Professional		$49.61	$65.65	$166.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $83.96 / $160.37	Facility		$33.67	$83.96	$160.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $101.39 / $203.03	Professional		$49.61	$101.39	$203.03
United Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $173.42 / $191.36	Professional		$112.00	$173.42	$191.36