Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.79 / $91.79 / $91.79	Facility		$91.79	$91.79	$91.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $52.39 / $75.31	Professional		$45.24	$52.39	$75.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.76 / $77,999.99 / $94,999.99	Facility		$363.76	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $78.34 / $78.34	Professional		$78.34	$78.34	$78.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $79.44 / $158.09	Facility		$76.77	$79.44	$158.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $65.52 / $205.74	Professional		$41.10	$65.52	$205.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $49.86 / $109.32	Facility		$42.32	$49.86	$109.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $78.34 / $119.57	Professional		$48.53	$78.34	$119.57
United Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $84.67 / $99.28	Professional		$45.85	$84.67	$99.28