Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $123.75 / $132.74	Facility		$123.75	$123.75	$132.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $122.43 / $122.43	Professional		$21.90	$122.43	$122.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $25.51 / $91,999.99	Facility		$25.51	$25.51	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $25.51 / $25.51	Professional		$25.51	$25.51	$25.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $37.13 / $56.26	Facility		$27.61	$37.13	$56.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $27.36 / $27.61	Professional		$13.10	$27.36	$27.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $32.36 / $56.26	Facility		$27.61	$32.36	$56.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $19.04 / $27.61	Professional		$17.14	$19.04	$27.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.23 / $26.17	Professional		$8.00	$8.23	$26.17