Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $103.60 / $128.83	Facility		$98.00	$103.60	$128.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $37.70 / $74.11	Professional		$25.08	$37.70	$74.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.21 / $37.21 / $51.58	Professional	25	$37.21	$37.21	$51.58
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 $54.68 / $54.68 / $75.72	Professional		$54.68	$54.68	$75.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $90.00	Facility		$54.68	$54.68	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $63.81 / $90.26	Professional		$38.89	$63.81	$90.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $42.26 / $68.45	Facility		$28.70	$42.26	$68.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $50.96 / $75.72	Professional		$36.79	$50.96	$75.72
United Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $63.80 / $81.22	Professional		$57.20	$63.80	$81.22