Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $261.00 / $261.00	Facility		$261.00	$261.00	$261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $76.59 / $328.38	Professional		$58.46	$76.59	$328.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $64,999.99 / $94,999.99	Facility		$68.43	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $68.43 / $68.43	Professional		$68.43	$68.43	$68.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $86.82 / $291.10	Facility		$74.05	$86.82	$291.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $74.05 / $74.05	Professional		$74.05	$74.05	$74.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $86.82 / $291.10	Facility		$74.05	$86.82	$291.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $45.96 / $74.05	Professional		$45.96	$45.96	$74.05
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.45 / $51.07	Professional		$21.45	$21.45	$51.07