Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $116.06 / $116.06	Professional		$20.76	$116.06	$116.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $24.19 / $91,999.99	Facility		$24.19	$24.19	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $24.19 / $24.19	Professional		$24.19	$24.19	$24.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $35.20 / $53.34	Facility		$26.17	$35.20	$53.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $25.81 / $26.17	Professional		$12.42	$25.81	$26.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $30.69 / $53.34	Facility		$26.17	$30.69	$53.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $18.05 / $26.17	Professional		$16.25	$18.05	$26.17
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.58 / $24.81	Professional		$7.58	$7.58	$24.81