Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $99.67 / $313.33	Professional		$76.00	$99.67	$313.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $77,999.99 / $94,999.99	Facility		$280.00	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.75 / $90.75 / $317.18	Facility		$90.75	$90.75	$317.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $90.75 / $90.75	Professional		$69.73	$90.75	$90.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $90.75 / $317.18	Facility		$69.73	$90.75	$317.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $75.65 / $98.67	Professional		$75.65	$75.65	$98.67
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73