Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.30 / $193.30 / $193.30	Facility		$193.30	$193.30	$193.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $56.64 / $115.28	Professional		$31.17	$56.64	$115.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $52.05 / $102.53	Professional		$44.25	$52.05	$102.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.05 / $52.05 / $52.05	Facility		$52.05	$52.05	$52.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $55.87 / $102.53	Professional		$32.72	$55.87	$102.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $52.05 / $86.55	Facility		$25.82	$52.05	$86.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $67.90 / $122.38	Professional		$44.24	$67.90	$122.38
United Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $81.48	Facility		$81.48	$81.48	$81.48
United Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $99.68 / $112.82	Professional		$90.78	$99.68	$112.82