Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $25.45 / $68.28	Professional		$22.87	$25.45	$68.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $77,999.99 / $94,999.99	Facility		$178.46	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $35.75 / $35.75	Professional		$35.75	$35.75	$35.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $35.75 / $42.50	Facility		$35.75	$35.75	$42.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $34.54 / $55.83	Professional		$25.89	$34.54	$55.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $23.47 / $35.75	Facility		$18.68	$23.47	$35.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $35.75 / $57.25	Professional		$22.97	$35.75	$57.25
United Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $42.47 / $48.95	Professional		$36.71	$42.47	$48.95