Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $126.62 / $385.99	Facility		$33.78	$126.62	$385.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $23.99 / $32.11	Professional		$16.27	$23.99	$32.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $27.95 / $68,999.99	Facility		$27.95	$27.95	$68,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $27.95 / $27.95	Professional		$27.95	$27.95	$27.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $40.68 / $61.64	Facility		$30.25	$40.68	$61.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $29.94 / $30.25	Professional		$14.29	$29.94	$30.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $35.46 / $61.64	Facility		$30.25	$35.46	$61.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $20.86 / $30.25	Professional		$18.77	$20.86	$30.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $28.68	Professional		$8.76	$8.76	$28.68