Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $358.41 / $358.41	Professional		$64.09	$358.41	$358.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.69 / $64,999.99 / $94,999.99	Facility		$74.69	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $74.69 / $74.69	Professional		$74.69	$74.69	$74.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $94.76 / $317.72	Facility		$80.81	$94.76	$317.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $80.81 / $80.81	Professional		$28.75	$80.81	$80.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $94.76 / $317.72	Facility		$80.81	$94.76	$317.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $50.17 / $80.81	Professional		$50.17	$50.17	$80.81
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $23.41 / $55.74	Professional		$23.41	$23.41	$55.74