Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $251.48 / $251.48	Professional		$44.98	$251.48	$251.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.41 / $68,099.99 / $94,999.99	Facility		$52.41	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $52.41 / $52.41	Professional		$52.41	$52.41	$52.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $76.26 / $115.57	Facility		$56.71	$76.26	$115.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $56.27 / $56.71	Professional		$17.52	$56.27	$56.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $66.48 / $115.57	Facility		$37.01	$66.48	$115.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $35.20 / $56.71	Professional		$35.20	$35.20	$56.71
United Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $16.43 / $39.11	Professional		$14.57	$16.43	$39.11