Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $62.76 / $62.76	Facility		$62.76	$62.76	$62.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $64.65 / $107.60	Professional		$54.99	$64.65	$107.60
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 $116.73 / $116.73 / $116.73	Professional		$116.73	$116.73	$116.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.73 / $116.73 / $138.75	Facility		$116.73	$116.73	$138.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $166.28 / $176.40	Professional		$50.79	$166.28	$176.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.73 / $116.73 / $138.75	Facility		$116.73	$116.73	$138.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $92.15 / $166.28	Professional		$64.38	$92.15	$166.28
United Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $111.36 / $124.79	Professional		$91.64	$111.36	$124.79