Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $83.77 / $148.94	Facility		$57.04	$83.77	$148.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $33.95 / $43.39	Professional		$24.52	$33.95	$43.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $50.56 / $91,999.99	Facility		$50.56	$50.56	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $50.56 / $50.56	Professional		$50.56	$50.56	$50.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $73.56 / $111.49	Facility		$54.71	$73.56	$111.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $54.21 / $54.71	Professional		$25.86	$54.21	$54.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $73.56 / $111.49	Facility		$54.71	$73.56	$111.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $37.72 / $54.71	Professional		$33.96	$37.72	$54.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $51.85	Professional		$15.85	$15.85	$51.85