Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.30 / $241.30 / $241.30	Facility		$241.30	$241.30	$241.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $47.96 / $68.77	Professional		$46.85	$47.96	$68.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $68,099.99 / $94,999.99	Facility		$58.52	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $58.52 / $58.52	Professional		$58.52	$58.52	$58.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $74.23 / $248.92	Facility		$63.32	$74.23	$248.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $63.32 / $63.32	Professional		$27.56	$63.32	$63.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $74.23 / $248.92	Facility		$63.32	$74.23	$248.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $39.29 / $63.32	Professional		$39.29	$39.29	$63.32
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $18.34 / $43.67	Professional		$18.34	$18.34	$43.67