Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $77.76 / $273.60	Facility		$77.76	$77.76	$273.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.92 / $141.19	Professional		$19.57	$19.92	$141.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $29.43 / $91,999.99	Facility		$29.43	$29.43	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $29.43 / $29.43	Professional		$29.43	$29.43	$29.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $42.82 / $64.89	Facility		$31.84	$42.82	$64.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $31.49 / $31.84	Professional		$15.14	$31.49	$31.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $37.33 / $64.89	Facility		$31.84	$37.33	$64.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $21.96 / $31.84	Professional		$19.76	$21.96	$31.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $30.19	Professional		$9.22	$9.22	$30.19