Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $116.64 / $205.91	Facility		$56.00	$116.64	$205.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $19.86 / $19.86	Professional		$19.86	$19.86	$19.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $23.14 / $91,999.99	Facility		$23.14	$23.14	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $25.04 / $25.04	Facility		$25.04	$25.04	$25.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $24.78 / $25.04	Professional		$8.34	$24.78	$25.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $25.04 / $25.04	Facility		$25.04	$25.04	$25.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $17.27 / $25.04	Professional		$15.54	$17.27	$25.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $17.27	Professional		$7.25	$7.25	$17.27