Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.95 / $420.70 / $694.88	Facility		$171.95	$420.70	$694.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $72.15 / $222.42	Professional		$32.59	$72.15	$222.42
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 $50.50 / $59.42 / $137.76	Professional		$50.50	$59.42	$137.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.42 / $59.42 / $59.42	Facility		$59.42	$59.42	$59.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $62.72 / $137.76	Professional		$50.51	$62.72	$137.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $80.81 / $131.38	Facility		$33.15	$80.81	$131.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $84.23 / $168.32	Professional		$49.88	$84.23	$168.32
United Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $140.36 / $155.55	Professional		$114.68	$140.36	$155.55