Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $36.51 / $231.22	Professional		$21.15	$36.51	$231.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.18 / $77,999.99 / $94,999.99	Facility		$234.18	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $52.58	Professional		$52.58	$52.58	$52.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $62.50 / $199.39	Facility		$52.47	$62.50	$199.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $51.80 / $52.58	Professional		$12.64	$51.80	$52.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $62.50 / $199.39	Facility		$52.47	$62.50	$199.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $44.46 / $60.36	Professional		$31.38	$44.46	$60.36
United Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $20.79 / $34.65	Professional		$17.48	$20.79	$34.65