Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.63 / $167.40 / $268.00	Facility		$115.63	$167.40	$268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $51.24 / $167.40	Professional		$38.54	$51.24	$167.40
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 Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $17.98 / $42.84	Professional		$17.98	$17.98	$42.84