Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.10 / $277.10 / $465.97	Facility		$277.10	$277.10	$465.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $32.50 / $64.12	Professional		$16.05	$32.50	$64.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $91,999.99	Facility		$29.71	$29.71	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Professional		$29.71	$29.71	$29.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $43.23 / $65.51	Facility		$32.15	$43.23	$65.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $32.01 / $32.15	Professional		$12.42	$32.01	$32.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $37.69 / $65.51	Facility		$26.24	$37.69	$65.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $32.15	Professional		$19.95	$19.95	$32.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.31 / $24.82	Professional		$9.31	$9.31	$24.82