Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $28.76 / $80.00	Professional		$25.16	$28.76	$80.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.80 / $77,999.99 / $94,999.99	Facility		$195.80	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $39.44 / $39.44	Professional		$39.44	$39.44	$39.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.44 / $39.44 / $46.88	Facility		$39.44	$39.44	$46.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $37.99 / $61.36	Professional		$28.46	$37.99	$61.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $25.89 / $39.44	Facility		$20.61	$25.89	$39.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $39.44 / $62.90	Professional		$25.23	$39.44	$62.90
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $45.82 / $52.15	Professional		$40.29	$45.82	$52.15