Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.44 / $128.58 / $252.45	Facility		$46.44	$128.58	$252.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $22.16 / $24.97	Professional		$15.90	$22.16	$24.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $25.41 / $91,999.99	Facility		$25.41	$25.41	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $25.41 / $25.41	Professional		$25.41	$25.41	$25.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $36.97 / $56.03	Facility		$27.49	$36.97	$56.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $27.36 / $27.49	Professional		$13.10	$27.36	$27.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $32.22 / $56.03	Facility		$27.49	$32.22	$56.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $27.49	Professional		$17.05	$17.05	$27.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $7.96 / $26.08	Professional		$7.96	$7.96	$26.08