Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $21.93 / $27.20	Facility		$21.93	$21.93	$27.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $15.49 / $21.48	Professional		$11.74	$15.49	$21.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $19.19 / $91,999.99	Facility		$19.19	$19.19	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.19 / $19.19	Professional		$19.19	$19.19	$19.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $27.92 / $42.32	Facility		$20.76	$27.92	$42.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $20.65 / $20.76	Professional		$8.85	$20.65	$20.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $27.92 / $42.32	Facility		$20.76	$27.92	$42.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.95 / $20.76	Professional		$12.89	$12.95	$20.76
United Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $17.80	Professional		$6.01	$6.01	$17.80