Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $116.13 / $116.13	Professional		$20.77	$116.13	$116.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $24.20 / $91,999.99	Facility		$24.20	$24.20	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $24.20 / $24.20	Professional		$24.20	$24.20	$24.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $35.22 / $53.37	Facility		$26.19	$35.22	$53.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $25.81 / $26.19	Professional		$12.42	$25.81	$26.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $30.70 / $53.37	Facility		$26.19	$30.70	$53.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $18.05 / $26.19	Professional		$16.25	$18.05	$26.19
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $24.82	Professional		$7.59	$7.59	$24.82