Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.24 / $58.24 / $58.24	Facility		$58.24	$58.24	$58.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $49.60 / $94.50	Professional		$32.27	$49.60	$94.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.33 / $91.58 / $136.00	Professional	25	$37.33	$91.58	$136.00
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 $77.29 / $77.29 / $77.29	Professional		$77.29	$77.29	$77.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $77.29 / $91.88	Facility		$77.29	$77.29	$91.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $48.24 / $92.61	Professional		$34.52	$48.24	$92.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $57.49 / $84.36	Facility		$40.95	$57.49	$84.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $83.00 / $122.01	Professional		$44.76	$83.00	$122.01
United Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $63.01 / $72.09	Professional		$52.17	$63.01	$72.09