Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.95 / $399.95 / $399.95	Facility		$399.95	$399.95	$399.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $38.39 / $77.90	Professional		$29.12	$38.39	$77.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $45.74 / $59.94	Professional		$45.74	$45.74	$59.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $45.74 / $45.74	Facility		$45.74	$45.74	$45.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $48.89 / $62.27	Professional		$45.39	$48.89	$62.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $65.65 / $69.58	Facility		$27.76	$65.65	$69.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $46.37 / $65.09	Professional		$30.14	$46.37	$65.09
United Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $65.48 / $107.30	Professional		$52.17	$65.48	$107.30