Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.80 / $74.80 / $74.80	Facility		$74.80	$74.80	$74.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $30.01 / $215.21	Professional		$22.76	$30.01	$215.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $116.61 / $94,999.99	Facility		$44.85	$116.61	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $44.85 / $44.85	Professional		$44.85	$44.85	$44.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $56.90 / $190.78	Facility		$48.53	$56.90	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $48.53 / $48.53	Professional		$17.18	$48.53	$48.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $56.90 / $190.78	Facility		$48.53	$56.90	$190.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $30.12 / $48.53	Professional		$30.12	$30.12	$48.53
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $20.07 / $33.47	Professional		$20.07	$20.07	$33.47