Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $288.33 / $378.54	Facility		$48.28	$288.33	$378.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $76.58 / $313.20	Professional		$72.34	$76.58	$313.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.03 / $114.03 / $91,999.99	Facility		$114.03	$114.03	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $114.03 / $114.03	Professional		$114.03	$114.03	$114.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $144.66 / $485.07	Facility		$123.40	$144.66	$485.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $123.40 / $123.40	Professional		$58.52	$123.40	$123.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $144.66 / $485.07	Facility		$123.40	$144.66	$485.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $76.59 / $123.40	Professional		$76.59	$76.59	$123.40
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $35.74 / $85.10	Professional		$35.74	$35.74	$85.10