Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.39 / $143.13 / $143.13	Facility		$72.39	$143.13	$143.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $23.87 / $172.20	Professional		$22.77	$23.87	$172.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $35.89 / $91,999.99	Facility		$35.89	$35.89	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $35.89 / $35.89	Professional		$35.89	$35.89	$35.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $52.22 / $79.13	Facility		$38.83	$52.22	$79.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $38.72 / $38.83	Professional		$18.37	$38.72	$38.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $45.53 / $79.13	Facility		$38.83	$45.53	$79.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $24.10 / $38.83	Professional		$24.10	$24.10	$38.83
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $36.79	Professional		$11.25	$11.25	$36.79