Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $75.59 / $411.26	Professional		$45.00	$75.59	$411.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.71 / $394.14 / $94,999.99	Facility		$85.71	$394.14	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $85.71 / $85.71	Professional		$85.71	$85.71	$85.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $108.73 / $364.57	Facility		$92.74	$108.73	$364.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $92.74 / $92.74	Professional		$92.74	$92.74	$92.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $108.73 / $364.57	Facility		$92.74	$108.73	$364.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $57.56 / $92.74	Professional		$57.56	$57.56	$92.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $63.96	Professional		$26.86	$26.86	$63.96