Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $37.27 / $133.62	Professional		$31.19	$37.27	$133.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.88 / $77,999.99 / $94,999.99	Facility		$220.88	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $25.36 / $140.55	Facility		$25.36	$25.36	$140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $28.61 / $28.61	Professional		$25.36	$28.61	$28.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $25.36 / $140.55	Facility		$25.36	$25.36	$140.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $31.04 / $40.49	Professional		$28.61	$31.04	$40.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61