Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $41.28 / $106.25	Facility		$14.58	$41.28	$106.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.76 / $21.92	Professional		$13.01	$13.76	$21.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $20.49 / $91,999.99	Facility		$20.49	$20.49	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $20.49 / $20.49	Professional		$20.49	$20.49	$20.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $29.82 / $45.18	Facility		$22.17	$29.82	$45.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $21.68 / $22.17	Professional		$10.55	$21.68	$22.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $25.99 / $45.18	Facility		$22.17	$25.99	$45.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $15.29 / $22.17	Professional		$13.76	$15.29	$22.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.42 / $21.03	Professional		$6.42	$6.42	$21.03