Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $75.59 / $104.88	Facility		$15.39	$75.59	$104.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $11.74 / $19.42	Professional		$10.10	$11.74	$19.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $17.35 / $91,999.99	Facility		$17.35	$17.35	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $17.35 / $17.35	Professional		$17.35	$17.35	$17.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $25.25 / $38.27	Facility		$18.78	$25.25	$38.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $18.59 / $18.78	Professional		$8.85	$18.59	$18.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $22.02 / $38.27	Facility		$18.78	$22.02	$38.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $11.66 / $18.78	Professional		$11.66	$11.66	$18.78
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $5.44 / $17.80	Professional		$5.44	$5.44	$17.80