Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.43 / $116.43 / $116.43	Facility		$116.43	$116.43	$116.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $40.60 / $148.50	Professional		$31.28	$40.60	$148.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $141.28 / $94,999.99	Facility		$54.34	$141.28	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $54.34 / $54.34	Professional		$54.34	$54.34	$54.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $68.94 / $231.14	Facility		$58.80	$68.94	$231.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $58.80 / $58.80	Professional		$22.80	$58.80	$58.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $68.94 / $231.14	Facility		$58.80	$68.94	$231.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $36.50 / $58.80	Professional		$36.50	$36.50	$58.80
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $40.54	Professional		$17.03	$17.03	$40.54