Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $123.65 / $270.75	Facility		$93.00	$123.65	$270.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $31.83 / $52.63	Professional		$19.97	$31.83	$52.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.02 / $77,999.99 / $94,999.99	Facility		$267.02	$77,999.99	$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 $22.80 / $50.88 / $50.88	Professional		$22.80	$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 / $35.09	Professional		$14.74	$14.74	$35.09