Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $55.20 / $55.20	Facility		$55.20	$55.20	$55.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.90 / $192.90 / $192.90	Professional		$192.90	$192.90	$192.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $68,099.99 / $94,999.99	Facility		$40.20	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $40.20 / $40.20	Professional		$40.20	$40.20	$40.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $58.50 / $88.65	Facility		$43.50	$58.50	$88.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $43.37 / $43.50	Professional		$8.34	$43.37	$43.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $51.00 / $88.65	Facility		$17.51	$51.00	$88.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $43.50	Professional		$27.00	$27.00	$43.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $12.60 / $30.00	Professional		$6.89	$12.60	$30.00