Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $13.50 / $100.13	Facility		$13.50	$13.50	$100.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $20.30 / $113.49	Professional		$16.01	$20.30	$113.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $91,999.99	Facility		$23.65	$23.65	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $34.42 / $52.16	Facility		$25.59	$34.42	$52.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $25.59 / $25.81	Professional		$12.08	$25.59	$25.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $30.01 / $52.16	Facility		$25.59	$30.01	$52.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $17.64 / $25.59	Professional		$15.89	$17.64	$25.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $17.64	Professional		$7.41	$7.41	$17.64