Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.17 / $431.17 / $431.17	Facility		$431.17	$431.17	$431.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $280.67 / $280.67	Professional		$50.20	$280.67	$280.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $152.07 / $94,999.99	Facility		$58.49	$152.07	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $58.49	Professional		$58.49	$58.49	$58.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.29 / $74.20 / $248.81	Facility		$63.29	$74.20	$248.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $63.29 / $63.29	Professional		$63.29	$63.29	$63.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.29 / $74.20 / $248.81	Facility		$63.29	$74.20	$248.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $39.29 / $63.29	Professional		$39.29	$39.29	$63.29
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $43.65	Professional		$18.32	$18.32	$43.65