Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.29 / $67.20 / $101.77	Facility		$61.29	$67.20	$101.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $69.22 / $100.57	Professional		$67.20	$69.22	$100.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $77,999.99 / $94,999.99	Facility		$89.89	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.99 / $121.99 / $121.99	Facility		$121.99	$121.99	$121.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $121.99	Professional		$76.14	$76.14	$121.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.99 / $121.99 / $121.99	Facility		$121.99	$121.99	$121.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $87.99 / $133.31	Professional		$67.30	$87.99	$133.31
United Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $87.42 / $92.83	Professional		$87.42	$87.42	$92.83