Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $134.80 / $185.00	Facility		$52.03	$134.80	$185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $24.62 / $137.66	Professional		$19.41	$24.62	$137.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $28.69 / $91,999.99	Facility		$28.69	$28.69	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $41.75 / $63.27	Facility		$31.04	$41.75	$63.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $30.46 / $31.04	Professional		$14.80	$30.46	$31.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $36.40 / $63.27	Facility		$31.04	$36.40	$63.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $19.27 / $31.04	Professional		$19.27	$19.27	$31.04
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $29.43	Professional		$8.99	$8.99	$29.43