Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $15.39 / $90.19	Facility		$15.39	$15.39	$90.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.40 / $17.00	Professional		$9.61	$13.40	$17.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $91,999.99	Facility		$19.80	$19.80	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $19.80	Professional		$19.80	$19.80	$19.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $28.82 / $43.67	Facility		$21.43	$28.82	$43.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $21.17 / $21.43	Professional		$10.21	$21.17	$21.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $25.13 / $43.67	Facility		$21.43	$25.13	$43.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $14.78 / $21.43	Professional		$13.30	$14.78	$21.43
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.39 / $20.32	Professional		$6.21	$6.39	$20.32