Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $24.62 / $47.36	Professional		$14.98	$24.62	$47.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $68,999.99 / $94,999.99	Facility		$89.68	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.17 / $72.14 / $262.85	Facility		$69.17	$72.14	$262.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $22.00 / $111.61	Professional		$16.43	$22.00	$111.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $35.57 / $72.98	Facility		$15.17	$35.57	$72.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $57.75 / $87.30	Professional		$22.00	$57.75	$87.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $17.89 / $17.89	Professional		$10.53	$17.89	$17.89