Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $91.05 / $48,007.79	Facility		$89.34	$91.05	$48,007.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.23 / $113.47	Professional		$89.34	$90.23	$113.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $109.89 / $1,143.15	Facility		$29.97	$109.89	$1,143.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $109.69 / $148.08	Professional		$68.87	$109.69	$148.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Facility		$89.34	$89.34	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.14 / $89.34 / $89.34	Facility		$31.14	$89.34	$89.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34