Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $22.93 / $163.84	Professional		$22.20	$22.93	$163.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $34.14 / $91,999.99	Facility		$34.14	$34.14	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $34.14 / $34.14	Professional		$34.14	$34.14	$34.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $49.69 / $75.29	Facility		$36.95	$49.69	$75.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $36.65 / $36.95	Professional		$17.52	$36.65	$36.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.32 / $75.29	Facility		$36.95	$43.32	$75.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $23.11 / $36.95	Professional		$22.93	$23.11	$36.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $35.02	Professional		$10.70	$10.70	$35.02