Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $38.61 / $226.80	Facility		$13.50	$38.61	$226.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.75 / $28.69	Professional		$16.22	$21.75	$28.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $33.43 / $91,999.99	Facility		$33.43	$33.43	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $33.43 / $33.43	Professional		$33.43	$33.43	$33.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $73.73 / $142.22	Facility		$37.43	$73.73	$142.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $28.50 / $35.61	Professional		$17.18	$28.50	$35.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $48.65 / $73.73	Facility		$36.28	$48.65	$73.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $22.46 / $31.19	Professional		$22.46	$22.46	$31.19
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $34.31	Professional		$10.48	$10.48	$34.31