Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $30.94 / $52.78	Professional		$27.73	$30.94	$52.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.41 / $77,999.99 / $94,999.99	Facility		$180.41	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $49.95	Professional		$12.09	$12.09	$49.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $49.95 / $66.45	Facility		$38.22	$49.95	$66.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $44.23 / $66.47	Professional		$26.50	$44.23	$66.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $46.10 / $66.45	Facility		$31.49	$46.10	$66.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $49.95 / $79.61	Professional		$30.73	$49.95	$79.61
United Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $30.68 / $53.88	Professional		$27.21	$30.68	$53.88