Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $106.17 / $199.57	Facility		$15.39	$106.17	$199.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $16.72 / $24.73	Professional		$12.21	$16.72	$24.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $25.18 / $91,999.99	Facility		$25.18	$25.18	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $25.18 / $25.18	Professional		$25.18	$25.18	$25.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $36.64 / $55.52	Facility		$27.25	$36.64	$55.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $26.85 / $27.25	Professional		$12.93	$26.85	$27.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $31.94 / $55.52	Facility		$27.25	$31.94	$55.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $27.25	Professional		$16.91	$16.91	$27.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $10.74 / $25.84	Professional		$7.89	$10.74	$25.84