Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $69.34 / $134.30	Facility		$69.34	$69.34	$134.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $56.36 / $275.45	Professional		$49.27	$56.36	$275.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.41 / $57.41 / $91,999.99	Facility		$57.41	$57.41	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $57.41 / $57.41	Professional		$57.41	$57.41	$57.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.12 / $72.83 / $244.19	Facility		$62.12	$72.83	$244.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $62.12 / $62.12	Professional		$29.43	$62.12	$62.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.12 / $72.83 / $244.19	Facility		$62.12	$72.83	$244.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $38.56 / $62.12	Professional		$38.56	$38.56	$62.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.51 / $42.84	Professional		$17.98	$24.51	$42.84