Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $48.79 / $224.00	Professional		$41.53	$48.79	$224.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.87 / $77,999.99 / $94,999.99	Facility		$328.87	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $62.04 / $79.92	Professional		$62.04	$62.04	$79.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.04 / $86.72 / $152.26	Facility		$62.04	$86.72	$152.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $66.98 / $116.76	Professional		$48.62	$66.98	$116.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $53.05 / $150.72	Facility		$38.72	$53.05	$150.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $74.20 / $118.10	Professional		$47.88	$74.20	$118.10
United Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $92.95 / $108.25	Professional		$82.94	$92.95	$108.25