Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $90.93	Professional		$75.15	$75.15	$90.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $77,999.99 / $94,999.99	Facility		$146.62	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.78 / $85.78 / $117.79	Facility		$85.78	$85.78	$117.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $85.78	Professional		$80.88	$80.88	$85.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.78 / $85.78 / $117.79	Facility		$85.78	$85.78	$117.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $81.52 / $106.34	Professional		$80.88	$81.52	$106.34
United Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $86.65	Professional		$81.59	$81.59	$86.65