Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.86 / $202.21 / $512.45	Facility		$67.86	$202.21	$512.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $40.60 / $228.00	Professional		$30.25	$40.60	$228.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $52.61 / $91,999.99	Facility		$52.61	$52.61	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $52.61 / $52.61	Professional		$52.61	$52.61	$52.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $116.01 / $223.78	Facility		$58.89	$116.01	$223.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $45.02 / $56.27	Professional		$23.31	$45.02	$56.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $76.56 / $116.01	Facility		$49.33	$76.56	$116.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $49.08	Professional		$35.33	$35.33	$49.08
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $16.48 / $39.26	Professional		$16.48	$16.48	$39.26