Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $80.13 / $144.00	Facility		$52.25	$80.13	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $121.16 / $146.00	Professional		$17.53	$121.16	$146.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $26.40 / $91,999.99	Facility		$26.40	$26.40	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $26.40 / $26.40	Professional		$26.40	$26.40	$26.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $38.42 / $58.21	Facility		$28.57	$38.42	$58.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $28.39 / $28.57	Professional		$13.44	$28.39	$28.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $33.49 / $58.21	Facility		$16.76	$33.49	$58.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $19.63 / $28.57	Professional		$17.73	$19.63	$28.57
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.22 / $33.72	Professional		$8.27	$11.22	$33.72