Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $228.00 / $655.47	Facility		$54.81	$228.00	$655.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $80.00 / $101.03	Professional		$58.71	$80.00	$101.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.26 / $90.26 / $91,999.99	Facility		$90.26	$90.26	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $90.26 / $90.26	Professional		$90.26	$90.26	$90.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $131.35 / $199.05	Facility		$97.67	$131.35	$199.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $96.54 / $97.67	Professional		$46.27	$96.54	$97.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $114.51 / $199.05	Facility		$97.67	$114.51	$199.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $67.36 / $97.67	Professional		$60.62	$67.36	$97.67
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $28.29 / $92.59	Professional		$28.29	$28.29	$92.59