Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $178.00 / $576.51	Facility		$82.80	$178.00	$576.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $55.10 / $122.40	Professional		$55.10	$55.10	$122.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.23 / $77,999.99 / $94,999.99	Facility		$180.23	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.91 / $149.47 / $380.91	Facility		$89.91	$149.47	$380.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $89.91	Professional		$56.42	$56.42	$89.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.91 / $149.47 / $380.91	Facility		$89.91	$149.47	$380.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $78.37 / $107.52	Professional		$55.32	$78.37	$107.52
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Professional		$56.50	$56.50	$56.50