Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $50.86 / $327.02	Professional		$25.43	$50.86	$327.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $68.15 / $91,999.99	Facility		$68.15	$68.15	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $68.15 / $68.15	Professional		$68.15	$68.15	$68.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.75 / $99.18 / $150.29	Facility		$73.75	$99.18	$150.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $72.79 / $73.75	Professional		$23.31	$72.79	$73.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.75 / $99.18 / $150.29	Facility		$73.75	$99.18	$150.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $73.75	Professional		$45.77	$45.77	$73.75
United Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $21.36 / $50.86	Professional		$19.42	$21.36	$50.86