Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $112.50 / $154.69	Facility		$17.82	$112.50	$154.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $19.18 / $26.30	Professional		$14.29	$19.18	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $29.47 / $91,999.99	Facility		$29.47	$29.47	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $29.47 / $29.47	Professional		$29.47	$29.47	$29.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.89 / $42.88 / $64.98	Facility		$31.89	$42.88	$64.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $31.49 / $31.89	Professional		$15.14	$31.49	$31.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.89 / $37.38 / $64.98	Facility		$31.89	$37.38	$64.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $21.99 / $31.89	Professional		$19.79	$21.99	$31.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $9.24 / $30.24	Professional		$9.24	$9.24	$30.24