Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $173.74 / $173.74	Facility		$53.88	$173.74	$173.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $84.26	Professional		$42.13	$42.13	$84.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $56.45 / $91,999.99	Facility		$56.45	$56.45	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $56.45 / $56.45	Professional		$56.45	$56.45	$56.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.09 / $61.09 / $61.09	Facility		$61.09	$61.09	$61.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $60.50 / $61.09	Professional		$21.94	$60.50	$61.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.09 / $61.09 / $61.09	Facility		$61.09	$61.09	$61.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $37.92 / $61.09	Professional		$37.92	$37.92	$61.09
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $42.13	Professional		$17.69	$17.69	$42.13