Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $137.90 / $154.86	Facility		$28.62	$137.90	$154.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $41.97 / $53.73	Professional		$22.81	$41.97	$53.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $122.25 / $94,999.99	Facility		$47.02	$122.25	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Professional		$47.02	$47.02	$47.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $59.65 / $200.01	Facility		$50.88	$59.65	$200.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $50.88 / $50.88	Professional		$24.16	$50.88	$50.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $59.65 / $200.01	Facility		$50.88	$59.65	$200.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $31.58 / $50.88	Professional		$31.58	$31.58	$50.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $49.04	Professional		$14.74	$14.74	$49.04