Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $65.61 / $115.15	Professional		$55.32	$65.61	$115.15
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 $108.84 / $108.84 / $129.35	Professional		$108.84	$108.84	$129.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.84 / $108.84 / $108.84	Facility		$108.84	$108.84	$108.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $82.88 / $130.37	Professional		$70.18	$82.88	$130.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $86.46 / $108.84	Facility		$73.67	$86.46	$108.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $98.21 / $130.37	Professional		$70.09	$98.21	$130.37
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $135.13 / $163.10	Professional		$119.25	$135.13	$163.10