Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $142.50 / $315.00	Facility		$41.48	$142.50	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $37.27 / $223.00	Professional		$30.59	$37.27	$223.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $129.84 / $94,999.99	Facility		$49.94	$129.84	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $49.94 / $49.94	Professional		$49.94	$49.94	$49.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $63.36 / $212.44	Facility		$54.04	$63.36	$212.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $54.04 / $54.04	Professional		$24.16	$54.04	$54.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $63.36 / $212.44	Facility		$54.04	$63.36	$212.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $33.54 / $54.04	Professional		$33.54	$33.54	$54.04
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $50.27	Professional		$15.65	$15.65	$50.27