Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $19.13 / $36.61	Professional		$12.55	$19.13	$36.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.26 / $68,999.99 / $94,999.99	Facility		$219.26	$68,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $55.63 / $202.69	Facility		$53.34	$55.63	$202.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.96 / $86.07	Professional		$10.96	$16.96	$86.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $29.90 / $56.69	Facility		$10.11	$29.90	$56.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $44.65 / $67.31	Professional		$29.76	$44.65	$67.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $13.79 / $17.91	Professional		$8.83	$13.79	$17.91