Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $63.91 / $63.91	Facility		$63.91	$63.91	$63.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $75.06 / $482.00	Professional		$21.60	$75.06	$482.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $77,999.99 / $94,999.99	Facility		$47,000.00	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $23.14 / $192.44	Professional		$19.66	$23.14	$192.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Facility		$23.14	$23.14	$23.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $47.48 / $192.44	Professional		$23.14	$47.48	$192.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $73.68 / $153.13	Facility		$13.03	$73.68	$153.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $121.96 / $238.08	Professional		$20.62	$121.96	$238.08
United Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $178.77 / $194.75	Professional		$139.51	$178.77	$194.75