Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $111.26 / $111.26	Facility		$53.53	$111.26	$111.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $47.64 / $56.76	Professional		$40.00	$47.64	$56.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $33.18 / $35.40	Professional		$24.89	$33.18	$35.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $32.50 / $50.10	Facility		$22.92	$32.50	$50.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
United Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $53.53 / $53.68	Professional		$50.54	$53.53	$53.68