Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.57 / $186.57 / $186.57	Facility		$186.57	$186.57	$186.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $28.85 / $61.67	Professional		$14.40	$28.85	$61.67
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $121.55 / $124.72 / $124.72	Professional	CQ	$121.55	$124.72	$124.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.84 / $57.84	Professional		$54.95	$57.84	$57.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $64.48 / $64.48	Facility		$57.84	$64.48	$64.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $49.16 / $59.86	Professional		$34.04	$49.16	$59.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $64.48 / $64.48	Facility		$57.84	$64.48	$64.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $49.95 / $69.17	Professional		$35.26	$49.95	$69.17
United Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $39.70 / $43.32	Professional		$36.50	$39.70	$43.32