Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.70 / $193.70 / $552.00	Facility		$193.70	$193.70	$552.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $30.25 / $218.23	Professional		$26.47	$30.25	$218.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $91,999.99	Facility		$45.48	$45.48	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Professional		$45.48	$45.48	$45.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $66.18 / $100.29	Facility		$49.21	$66.18	$100.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $49.04 / $49.21	Professional		$23.31	$49.04	$49.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $57.70 / $100.29	Facility		$49.21	$57.70	$100.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $33.94 / $49.21	Professional		$30.55	$33.94	$49.21
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.67 / $58.11	Professional		$14.25	$14.67	$58.11