Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $46.31 / $297.77	Professional		$28.86	$46.31	$297.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.06 / $62.06 / $91,999.99	Facility		$62.06	$62.06	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $62.06 / $62.06	Professional		$62.06	$62.06	$62.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $90.30 / $136.85	Facility		$67.15	$90.30	$136.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $66.59 / $67.15	Professional		$23.31	$66.59	$67.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $90.30 / $136.85	Facility		$67.15	$90.30	$136.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $41.68 / $67.15	Professional		$41.68	$41.68	$67.15
United Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $19.45 / $46.66	Professional		$19.42	$19.45	$46.66