Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $55.04 / $55.04	Facility		$55.04	$55.04	$55.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $146.66 / $146.66	Professional		$26.23	$146.66	$146.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $30.57 / $91,999.99	Facility		$30.57	$30.57	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $30.57 / $30.57	Professional		$30.57	$30.57	$30.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $44.48 / $67.40	Facility		$33.07	$44.48	$67.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $33.04 / $33.07	Professional		$15.65	$33.04	$33.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $38.78 / $67.40	Facility		$28.47	$38.78	$67.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $22.81 / $33.07	Professional		$20.53	$22.81	$33.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $31.37	Professional		$9.58	$9.58	$31.37