Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.96 / $172.96 / $172.96	Facility		$172.96	$172.96	$172.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $16.89 / $120.69	Professional		$11.58	$16.89	$120.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $25.15 / $91,999.99	Facility		$25.15	$25.15	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $25.15 / $25.15	Professional		$25.15	$25.15	$25.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $36.60 / $55.47	Facility		$27.22	$36.60	$55.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $26.85 / $27.22	Professional		$9.19	$26.85	$27.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $31.91 / $55.47	Facility		$19.34	$31.91	$55.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $27.22	Professional		$16.89	$16.89	$27.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.88 / $18.77	Professional		$7.61	$7.88	$18.77