Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Professional		$36.61	$36.61	$36.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.31 / $81,499.99 / $94,999.99	Facility		$194.31	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Professional		$41.01	$41.01	$41.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $105.08 / $202.69	Facility		$53.34	$105.08	$202.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $26.85 / $33.56	Professional		$10.89	$26.85	$33.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $69.34 / $105.08	Facility		$15.59	$69.34	$105.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $42.16 / $57.22	Professional		$29.76	$42.16	$57.22
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $13.79 / $32.84	Professional		$11.72	$13.79	$32.84