Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $390.94 / $390.94	Professional		$69.92	$390.94	$390.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.47 / $68,099.99 / $94,999.99	Facility		$81.47	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $81.47 / $81.47	Professional		$81.47	$81.47	$81.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $118.56 / $179.66	Facility		$88.16	$118.56	$179.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $87.25 / $88.16	Professional		$8.17	$87.25	$88.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $103.36 / $179.66	Facility		$17.43	$103.36	$179.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $54.72 / $88.16	Professional		$54.72	$54.72	$88.16
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $25.54 / $60.80	Professional		$6.86	$25.54	$60.80