Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $26.98 / $104.00	Professional		$24.17	$26.98	$104.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.37 / $77,999.99 / $94,999.99	Facility		$184.37	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.25 / $83.52	Facility		$38.90	$46.25	$83.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $36.86 / $58.77	Professional		$26.91	$36.86	$58.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $38.90 / $82.68	Facility		$22.30	$38.90	$82.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $38.90 / $61.42	Professional		$25.44	$38.90	$61.42
United Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $44.08 / $49.71	Professional		$38.76	$44.08	$49.71