Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.74 / $83.74 / $167.82	Facility		$83.74	$83.74	$167.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $40.63 / $227.17	Professional		$32.03	$40.63	$227.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $47.34 / $91,999.99	Facility		$47.34	$47.34	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $68.89 / $104.40	Facility		$51.23	$68.89	$104.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $50.59 / $51.23	Professional		$24.33	$50.59	$51.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $60.06 / $104.40	Facility		$51.23	$60.06	$104.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $35.33 / $51.23	Professional		$31.80	$35.33	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $14.84 / $48.57	Professional		$14.84	$14.84	$48.57