Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $77.26 / $77.26	Facility		$77.26	$77.26	$77.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $69.94 / $90.00	Professional		$65.67	$69.94	$90.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.05 / $293.55 / $478.33	Facility		$80.05	$293.55	$478.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $86.56 / $86.56	Professional		$64.92	$86.56	$86.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $72.25 / $72.25	Facility		$64.51	$72.25	$72.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
United Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $77.26 / $88.08	Professional		$77.26	$77.26	$88.08