Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $93.93 / $258.20	Professional		$43.53	$93.93	$258.20
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 $78.34 / $78.34 / $78.34	Professional		$78.34	$78.34	$78.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $78.34 / $78.34	Facility		$78.34	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $78.34 / $86.14	Professional		$58.58	$78.34	$86.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $89.70 / $94.88	Facility		$38.65	$89.70	$94.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $71.81 / $103.60	Professional		$47.88	$71.81	$103.60
United Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $64.79 / $64.79	Facility		$64.79	$64.79	$64.79
United Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $88.31 / $138.75	Professional		$70.03	$88.31	$138.75