Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.96 / $149.96 / $149.96	Facility		$149.96	$149.96	$149.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.59 / $113.49	Professional		$15.09	$15.59	$113.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $91,999.99	Facility		$23.65	$23.65	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $34.42 / $52.16	Facility		$25.59	$34.42	$52.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $25.59 / $25.81	Professional		$11.91	$25.59	$25.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $30.01 / $52.16	Facility		$25.17	$30.01	$52.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $15.89 / $25.59	Professional		$15.89	$15.89	$25.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.48 / $30.22	Professional		$7.41	$7.48	$30.22