Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.64 / $111.66 / $287.85	Facility		$35.64	$111.66	$287.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $27.66 / $149.00	Professional		$24.89	$27.66	$149.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $77,999.99 / $94,999.99	Facility		$160.40	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $46.27	Professional		$13.15	$13.15	$46.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $46.27 / $58.98	Facility		$33.93	$46.27	$58.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $41.17 / $63.39	Professional		$28.03	$41.17	$63.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $44.84 / $58.98	Facility		$29.90	$44.84	$58.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $46.27 / $75.42	Professional		$28.79	$46.27	$75.42
United Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $29.23 / $51.33	Professional		$26.14	$29.23	$51.33