Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $52.50 / $225.05	Professional		$28.85	$52.50	$225.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $46.90 / $46.90	Professional		$46.90	$46.90	$46.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $59.50 / $199.50	Facility		$50.75	$59.50	$199.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $50.75 / $50.75	Professional		$50.75	$50.75	$50.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $59.50 / $199.50	Facility		$50.75	$59.50	$199.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.50 / $50.75	Professional		$31.50	$31.50	$50.75
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $35.00	Professional		$14.70	$14.70	$35.00