Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $28.87 / $108.98	Professional		$21.52	$28.87	$108.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $77,999.99 / $94,999.99	Facility		$189.34	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $28.39 / $28.39	Professional		$28.39	$28.39	$28.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $40.94 / $81.45	Facility		$28.39	$40.94	$81.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $28.83 / $56.06	Professional		$24.13	$28.83	$56.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $31.77 / $80.64	Facility		$16.10	$31.77	$80.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $29.12 / $45.77	Professional		$18.93	$29.12	$45.77
United Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $44.25 / $49.95	Professional		$38.25	$44.25	$49.95