Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $1,025.00	Facility		$28.50	$28.50	$1,025.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $49.67 / $241.00	Professional		$34.20	$49.67	$241.00
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 $64.67 / $64.67 / $95.70	Professional		$64.67	$64.67	$95.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $64.67 / $64.67	Facility		$64.67	$64.67	$64.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $59.53 / $95.70	Professional		$42.52	$59.53	$95.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $59.85 / $72.73	Facility		$44.46	$59.85	$72.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $64.67 / $95.44	Professional		$42.06	$64.67	$95.44
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $98.60 / $119.00	Professional		$86.92	$98.60	$119.00