Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.55 / $42.55 / $42.55	Facility		$42.55	$42.55	$42.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $198.43 / $198.43	Professional		$35.49	$198.43	$198.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $41.35 / $91,999.99	Facility		$41.35	$41.35	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $41.35 / $41.35	Professional		$41.35	$41.35	$41.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.75 / $60.18 / $91.19	Facility		$44.75	$60.18	$91.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $44.40 / $44.75	Professional		$15.82	$44.40	$44.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.75 / $60.18 / $91.19	Facility		$44.75	$60.18	$91.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $27.77 / $44.75	Professional		$27.77	$27.77	$44.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $31.54	Professional		$12.96	$12.96	$31.54