Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $15.66 / $160.72	Facility		$15.66	$15.66	$160.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $20.27 / $113.36	Professional		$15.32	$20.27	$113.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $23.62 / $91,999.99	Facility		$23.62	$23.62	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $23.62 / $23.62	Professional		$23.62	$23.62	$23.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $34.38 / $52.10	Facility		$25.56	$34.38	$52.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $25.56 / $25.81	Professional		$12.08	$25.56	$25.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $29.97 / $52.10	Facility		$25.56	$29.97	$52.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $15.87 / $25.56	Professional		$15.87	$15.87	$25.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.40 / $24.24	Professional		$7.40	$7.40	$24.24