Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $96.04 / $188.10	Facility		$42.84	$96.04	$188.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $18.51 / $24.41	Professional		$16.55	$18.51	$24.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.45 / $28.45 / $91,999.99	Facility		$28.45	$28.45	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $28.45 / $28.45	Professional		$28.45	$28.45	$28.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $41.40 / $62.73	Facility		$30.78	$41.40	$62.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $30.46 / $30.78	Professional		$14.63	$30.46	$30.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $36.09 / $62.73	Facility		$30.78	$36.09	$62.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $21.23 / $30.78	Professional		$19.11	$21.23	$30.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $9.17 / $29.19	Professional		$8.92	$9.17	$29.19