Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $51.29 / $223.00	Professional		$39.53	$51.29	$223.00
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 $109.89 / $109.89 / $109.89	Professional		$109.89	$109.89	$109.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $109.89 / $130.63	Facility		$93.41	$109.89	$130.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $86.53 / $109.89	Professional		$58.59	$86.53	$109.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $57.45 / $109.89	Facility		$41.66	$57.45	$109.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $93.49 / $121.38	Professional		$57.46	$93.49	$121.38
United Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $60.27 / $70.48	Professional		$55.50	$60.27	$70.48