Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $72.14 / $112.21	Professional		$43.56	$72.14	$112.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.48 / $77,999.99 / $94,999.99	Facility		$296.48	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $62.57 / $89.39	Professional		$62.57	$62.57	$89.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.57 / $89.39 / $131.13	Facility		$62.57	$89.39	$131.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $89.39 / $169.01	Professional		$56.31	$89.39	$169.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $55.80 / $134.75	Facility		$36.59	$55.80	$134.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $82.02 / $128.86	Professional		$53.18	$82.02	$128.86
United Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $97.21 / $171.72	Professional		$82.63	$97.21	$171.72