Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.37 / $176.37 / $176.37	Facility		$176.37	$176.37	$176.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $23.87 / $63.53	Professional		$17.11	$23.87	$63.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.91 / $77,999.99 / $94,999.99	Facility		$171.91	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $29.44 / $29.44	Professional		$28.39	$29.44	$29.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $29.73 / $59.16	Facility		$28.39	$29.73	$59.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $29.44 / $110.00	Professional		$24.13	$29.44	$110.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $24.36 / $63.57	Facility		$16.92	$24.36	$63.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $30.20 / $49.42	Professional		$19.14	$30.20	$49.42
United Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $35.20 / $100.98	Professional		$26.40	$35.20	$100.98