Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $108.29 / $216.57	Facility		$54.14	$108.29	$216.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $86.63 / $464.18	Professional		$52.18	$86.63	$464.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $361.52 / $628.16	Facility		$72.19	$361.52	$628.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $59.05 / $72.19	Professional		$44.29	$59.05	$72.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $46.92 / $46.92	Facility		$46.92	$46.92	$46.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $83.01 / $103.77	Professional		$31.17	$83.01	$103.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $68.58 / $86.63	Facility		$46.92	$68.58	$86.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $72.19 / $74.00	Professional		$59.20	$72.19	$74.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $43.31	Professional		$30.32	$30.32	$43.31