Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $148.33 / $148.33	Facility		$148.33	$148.33	$148.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $105.07 / $105.07	Professional		$18.79	$105.07	$105.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $21.90 / $91,999.99	Facility		$21.90	$21.90	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Professional		$21.90	$21.90	$21.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $31.86 / $48.28	Facility		$23.69	$31.86	$48.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $23.69 / $23.75	Professional		$11.23	$23.69	$23.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $27.78 / $48.28	Facility		$20.34	$27.78	$48.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $16.34 / $23.69	Professional		$14.71	$16.34	$23.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $7.06 / $27.98	Professional		$6.86	$7.06	$27.98