Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $164.33 / $251.18	Facility		$68.23	$164.33	$251.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $22.74 / $29.06	Professional		$16.43	$22.74	$29.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $91,999.99	Facility		$33.86	$33.86	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Professional		$33.86	$33.86	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $49.28 / $74.67	Facility		$36.64	$49.28	$74.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $36.14 / $36.64	Professional		$17.35	$36.14	$36.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $42.96 / $74.67	Facility		$36.64	$42.96	$74.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $25.27 / $36.64	Professional		$22.74	$25.27	$36.64
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $25.27	Professional		$10.61	$10.61	$25.27