Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $93.10 / $166.23	Facility		$87.40	$93.10	$166.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $40.35 / $258.00	Professional		$25.72	$40.35	$258.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $47.02 / $86,999.99	Facility		$47.02	$47.02	$86,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Professional		$47.02	$47.02	$47.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $68.43 / $103.69	Facility		$50.88	$68.43	$103.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $50.08 / $50.88	Professional		$24.16	$50.08	$50.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $68.43 / $103.69	Facility		$50.88	$68.43	$103.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $35.09 / $50.88	Professional		$31.58	$35.09	$50.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.05 / $48.24	Professional		$14.74	$20.05	$48.24