Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $115.10 / $115.10	Professional		$20.59	$115.10	$115.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $91,999.99	Facility		$23.99	$23.99	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $34.90 / $52.89	Facility		$25.96	$34.90	$52.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $25.81 / $25.96	Professional		$12.25	$25.81	$25.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $30.43 / $52.89	Facility		$25.96	$30.43	$52.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $25.96	Professional		$16.11	$16.11	$25.96
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $7.52 / $24.61	Professional		$7.52	$7.52	$24.61