Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $134.90 / $239.40	Facility		$113.40	$134.90	$239.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $17.80 / $126.22	Professional		$17.07	$17.80	$126.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $91,999.99	Facility		$26.30	$26.30	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $38.28 / $58.01	Facility		$28.46	$38.28	$58.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $28.39 / $28.46	Professional		$13.44	$28.39	$28.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $38.28 / $58.01	Facility		$28.46	$38.28	$58.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $19.63 / $28.46	Professional		$17.67	$19.63	$28.46
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $26.98	Professional		$8.24	$8.24	$26.98