Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $15.39 / $40.08	Facility		$15.39	$15.39	$40.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $17.00 / $120.56	Professional		$16.11	$17.00	$120.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $25.13 / $91,999.99	Facility		$25.13	$25.13	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $25.13 / $25.13	Professional		$25.13	$25.13	$25.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $36.56 / $55.41	Facility		$27.19	$36.56	$55.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $26.85 / $27.19	Professional		$12.93	$26.85	$27.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $31.88 / $55.41	Facility		$27.19	$31.88	$55.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $16.88 / $27.19	Professional		$16.88	$16.88	$27.19
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $26.21	Professional		$7.88	$7.88	$26.21