Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $57.95 / $57.95	Facility		$16.47	$57.95	$57.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $24.26 / $30.42	Professional		$18.04	$24.26	$30.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $27.18 / $91,999.99	Facility		$27.18	$27.18	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $27.18 / $27.18	Professional		$27.18	$27.18	$27.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $39.54 / $59.93	Facility		$29.41	$39.54	$59.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $29.41 / $29.43	Professional		$13.95	$29.41	$29.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $34.47 / $59.93	Facility		$29.41	$34.47	$59.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $20.28 / $29.41	Professional		$18.25	$20.28	$29.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.76 / $27.88	Professional		$8.52	$8.76	$27.88