Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.20 / $196.20 / $287.85	Facility		$196.20	$196.20	$287.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $31.28 / $52.78	Professional		$28.05	$31.28	$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 $27.79 / $44.23 / $66.47	Professional		$27.79	$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 $27.93 / $30.68 / $53.88	Professional		$27.93	$30.68	$53.88