Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $121.14 / $121.14	Professional		$36.95	$121.14	$121.14
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 $199.40 / $199.40 / $199.40	Professional		$199.40	$199.40	$199.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Facility		$46.67	$46.67	$46.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Facility		$46.67	$46.67	$46.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $33.82 / $46.67	Professional		$33.82	$33.82	$46.67
United Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $52.37 / $60.04	Professional		$41.88	$52.37	$60.04