Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $120.65 / $120.65	Facility		$120.65	$120.65	$120.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $18.22 / $130.13	Professional		$17.64	$18.22	$130.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $27.12 / $91,999.99	Facility		$27.12	$27.12	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $27.12 / $27.12	Professional		$27.12	$27.12	$27.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $39.47 / $59.81	Facility		$29.35	$39.47	$59.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $29.35 / $29.43	Professional		$13.95	$29.35	$29.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $34.40 / $59.81	Facility		$29.35	$34.40	$59.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $20.23 / $29.35	Professional		$18.22	$20.23	$29.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $27.82	Professional		$8.50	$8.50	$27.82