Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.90 / $135.90 / $135.90	Facility		$135.90	$135.90	$135.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $37.14 / $161.13	Professional		$22.71	$37.14	$161.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $77,999.99 / $94,999.99	Facility		$64,999.99	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $26.29 / $52.05	Professional		$22.35	$26.29	$52.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $26.29 / $26.29	Facility		$26.29	$26.29	$26.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $34.97 / $58.78	Professional		$26.29	$34.97	$58.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $28.82 / $73.45	Facility		$14.10	$28.82	$73.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $34.97 / $63.25	Professional		$23.37	$34.97	$63.25
United Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $57.01 / $73.45	Professional		$49.41	$57.01	$73.45