Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $68.92 / $118.15	Facility		$20.79	$68.92	$118.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $22.25 / $29.36	Professional		$16.59	$22.25	$29.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $34.21 / $91,999.99	Facility		$34.21	$34.21	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $34.21 / $34.21	Professional		$34.21	$34.21	$34.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $49.78 / $75.44	Facility		$37.02	$49.78	$75.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $36.65 / $37.02	Professional		$17.52	$36.65	$37.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $43.40 / $75.44	Facility		$37.02	$43.40	$75.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $25.53 / $37.02	Professional		$22.98	$25.53	$37.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $35.10	Professional		$10.72	$10.72	$35.10