Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $106.25 / $366.70	Facility		$33.21	$106.25	$366.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $35.00 / $46.86	Professional		$26.49	$35.00	$46.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.61 / $54.61 / $91,999.99	Facility		$54.61	$54.61	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $54.61 / $54.61	Professional		$54.61	$54.61	$54.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $79.45 / $120.42	Facility		$59.09	$79.45	$120.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $58.34 / $59.09	Professional		$28.07	$58.34	$59.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $69.28 / $120.42	Facility		$59.09	$69.28	$120.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $36.68 / $59.09	Professional		$36.68	$36.68	$59.09
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $17.61 / $56.02	Professional		$17.12	$17.61	$56.02