Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $310.18 / $310.18	Professional		$55.48	$310.18	$310.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.64 / $64,999.99 / $94,999.99	Facility		$64.64	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $64.64 / $64.64	Professional		$64.64	$64.64	$64.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $82.01 / $274.97	Facility		$69.95	$82.01	$274.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $69.95 / $69.95	Professional		$24.16	$69.95	$69.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.95 / $82.01 / $274.97	Facility		$69.95	$82.01	$274.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $43.42 / $69.95	Professional		$43.42	$43.42	$69.95
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $20.26 / $48.24	Professional		$20.07	$20.26	$48.24