Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $143.47 / $373.93	Facility		$62.73	$143.47	$373.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $29.48 / $162.36	Professional		$29.04	$29.48	$162.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $91,999.99	Facility		$33.84	$33.84	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $33.84 / $33.84	Professional		$33.84	$33.84	$33.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $49.24 / $74.61	Facility		$36.61	$49.24	$74.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $36.14 / $36.61	Professional		$17.35	$36.14	$36.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $42.93 / $74.61	Facility		$36.61	$42.93	$74.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $25.25 / $36.61	Professional		$22.73	$25.25	$36.61
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.91 / $43.23	Professional		$10.61	$10.91	$43.23