Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $163.74 / $372.19	Facility		$86.58	$163.74	$372.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $17.32 / $22.97	Professional		$12.48	$17.32	$22.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $91,999.99	Facility		$30.78	$30.78	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Professional		$30.78	$30.78	$30.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $33.04 / $33.31	Professional		$26.43	$33.04	$33.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $22.97 / $33.31	Professional		$20.67	$22.97	$33.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $9.65 / $22.97	Professional		$9.65	$9.65	$22.97