Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $33.52 / $52.63	Professional		$33.52	$33.52	$52.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $64,999.99 / $94,999.99	Facility		$47.02	$64,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Professional		$47.02	$47.02	$47.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $50.88 / $50.88	Facility		$50.88	$50.88	$50.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $50.88 / $50.88	Professional		$50.88	$50.88	$50.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $50.88 / $50.88	Facility		$50.88	$50.88	$50.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $42.11 / $50.88	Professional		$31.58	$42.11	$50.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $35.09	Professional		$14.74	$14.74	$35.09