Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $80.95 / $212.80	Professional		$43.56	$80.95	$212.80
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 $63.10 / $63.10 / $118.31	Professional		$63.10	$63.10	$118.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.93 / $118.31	Professional		$63.10	$66.93	$118.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $130.65 / $136.62	Facility		$38.76	$130.65	$136.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $76.76 / $118.31	Professional		$41.01	$76.76	$118.31
United Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $119.40 / $205.35	Professional		$102.50	$119.40	$205.35