Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $79.73 / $79.73	Facility		$79.73	$79.73	$79.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $26.78 / $189.88	Professional		$25.73	$26.78	$189.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $91,999.99	Facility		$39.57	$39.57	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Professional		$39.57	$39.57	$39.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $57.58 / $87.26	Facility		$42.82	$57.58	$87.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $42.33 / $42.82	Professional		$20.23	$42.33	$42.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $50.20 / $87.26	Facility		$42.82	$50.20	$87.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $29.53 / $42.82	Professional		$26.58	$29.53	$42.82
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $40.60	Professional		$12.40	$12.40	$40.60