Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.12 / $182.12 / $241.07	Facility		$182.12	$182.12	$241.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $27.85 / $49.15	Professional		$25.56	$27.85	$49.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $43.91 / $91,999.99	Facility		$43.91	$43.91	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $43.91	Professional		$43.91	$43.91	$43.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.16 / $96.84 / $186.79	Facility		$49.16	$96.84	$186.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $37.58 / $46.98	Professional		$15.65	$37.58	$46.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.16 / $96.84 / $186.79	Facility		$49.16	$96.84	$186.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $29.49 / $39.32	Professional		$29.49	$29.49	$39.32
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $32.77	Professional		$13.76	$13.76	$32.77