Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $133.26 / $133.26	Professional		$133.26	$133.26	$133.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $86,999.99	Facility		$97.00	$97.00	$86,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $129.00	Professional		$97.00	$97.00	$129.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.98 / $104.98 / $104.98	Facility		$104.98	$104.98	$104.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $104.98 / $104.98	Professional		$77.00	$104.98	$104.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.98 / $104.98 / $104.98	Facility		$104.98	$104.98	$104.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $104.98 / $104.98	Professional		$77.00	$104.98	$104.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $36.97 / $41.85	Professional		$33.57	$36.97	$41.85