Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.24 / $39.24 / $225.70	Facility		$39.24	$39.24	$225.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $24.89 / $31.21	Professional		$13.53	$24.89	$31.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $27.89 / $91,999.99	Facility		$27.89	$27.89	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $27.89 / $27.89	Professional		$27.89	$27.89	$27.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $40.58 / $61.49	Facility		$30.17	$40.58	$61.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $29.94 / $30.17	Professional		$14.29	$29.94	$30.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $35.38 / $61.49	Facility		$30.17	$35.38	$61.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $20.81 / $30.17	Professional		$18.73	$20.81	$30.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $28.61	Professional		$8.74	$8.74	$28.61