Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $217.72 / $217.72	Professional		$38.94	$217.72	$217.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $68,099.99 / $94,999.99	Facility		$45.37	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Professional		$45.37	$45.37	$45.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $66.03 / $100.06	Facility		$49.10	$66.03	$100.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $49.04 / $49.10	Professional		$17.01	$49.04	$49.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $66.03 / $100.06	Facility		$49.10	$66.03	$100.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $30.47 / $49.10	Professional		$30.47	$30.47	$49.10
United Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.22 / $57.97	Professional		$14.20	$14.22	$57.97