Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.52 / $112.52 / $112.52	Facility		$112.52	$112.52	$112.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $458.01 / $458.01	Professional		$81.91	$458.01	$458.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $68,099.99 / $94,999.99	Facility		$95.45	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $95.45 / $95.45	Professional		$95.45	$95.45	$95.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $138.90 / $210.48	Facility		$103.28	$138.90	$210.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $102.22 / $103.28	Professional		$35.89	$102.22	$103.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $121.09 / $210.48	Facility		$76.04	$121.09	$210.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $64.11 / $103.28	Professional		$64.11	$64.11	$103.28
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $71.94	Professional		$29.92	$29.92	$71.94