Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $61.74 / $210.67	Facility		$61.74	$61.74	$210.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $26.35 / $188.27	Professional		$25.51	$26.35	$188.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.24 / $39.24 / $91,999.99	Facility		$39.24	$39.24	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $39.24 / $39.24	Professional		$39.24	$39.24	$39.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $57.10 / $86.52	Facility		$42.46	$57.10	$86.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $42.33 / $42.46	Professional		$20.07	$42.33	$42.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $49.78 / $86.52	Facility		$42.46	$49.78	$86.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $29.28 / $42.46	Professional		$26.35	$29.28	$42.46
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $29.28	Professional		$12.30	$12.30	$29.28