Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $28.60 / $219.84	Professional		$26.82	$28.60	$219.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $91,999.99	Facility		$45.81	$45.81	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $45.81 / $45.81	Professional		$45.81	$45.81	$45.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $66.67 / $101.03	Facility		$49.58	$66.67	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $49.04 / $49.58	Professional		$21.60	$49.04	$49.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $66.67 / $101.03	Facility		$49.58	$66.67	$101.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $31.55 / $49.58	Professional		$30.77	$31.55	$49.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.36 / $43.36	Professional		$14.36	$14.36	$43.36