Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $88.00 / $755.61	Facility		$57.95	$88.00	$755.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $26.94 / $31.09	Professional		$19.86	$26.94	$31.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $23.14 / $68,999.99	Facility		$23.14	$23.14	$68,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $25.04 / $25.04	Facility		$25.04	$25.04	$25.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $24.78 / $25.04	Professional		$19.82	$24.78	$25.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $25.04 / $25.04	Facility		$25.04	$25.04	$25.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $17.27 / $25.04	Professional		$15.54	$17.27	$25.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $17.27	Professional		$7.25	$7.25	$17.27