Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $115.39 / $293.77	Professional		$57.43	$115.39	$293.77
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 $85.71 / $85.71 / $175.62	Professional		$85.71	$85.71	$175.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.71 / $85.71 / $85.71	Facility		$85.71	$85.71	$85.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $100.83 / $195.20	Professional		$68.90	$100.83	$195.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $84.30 / $105.38	Facility		$40.06	$84.30	$105.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $117.77 / $217.94	Professional		$74.70	$117.77	$217.94
United Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $190.19 / $225.92	Professional		$161.66	$190.19	$225.92