Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $102.48 / $102.48	Facility		$102.48	$102.48	$102.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.30 / $87.06	Professional		$12.19	$12.30	$87.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $91,999.99	Facility		$18.14	$18.14	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $26.40 / $40.01	Facility		$19.63	$26.40	$40.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $19.62 / $19.63	Professional		$8.85	$19.62	$19.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $26.40 / $40.01	Facility		$19.63	$26.40	$40.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $13.54 / $19.63	Professional		$12.19	$13.54	$19.63
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.69 / $18.44	Professional		$5.69	$5.69	$18.44