Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $110.58 / $277.20	Facility		$69.34	$110.58	$277.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $61.49 / $343.81	Professional		$46.00	$61.49	$343.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $71.65 / $91,999.99	Facility		$71.65	$71.65	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $71.65	Professional		$71.65	$71.65	$71.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.53 / $90.90 / $304.77	Facility		$77.53	$90.90	$304.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $77.53 / $77.53	Professional		$23.99	$77.53	$77.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.53 / $90.90 / $304.77	Facility		$77.53	$90.90	$304.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $48.12 / $77.53	Professional		$48.12	$48.12	$77.53
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.46 / $53.47	Professional		$20.00	$22.46	$53.47