Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.13 / $133.19 / $155.40	Facility		$53.13	$133.19	$155.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $26.35 / $33.67	Professional		$23.92	$26.35	$33.67
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 $15.31 / $42.33 / $42.46	Professional		$15.31	$42.33	$42.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $57.10 / $86.52	Facility		$42.46	$57.10	$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 / $32.53	Professional		$12.30	$12.30	$32.53