Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $86.31 / $184.49	Facility		$86.31	$86.31	$184.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $25.46 / $124.42	Professional		$22.25	$25.46	$124.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.93 / $25.93 / $91,999.99	Facility		$25.93	$25.93	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $25.93 / $25.93	Professional		$25.93	$25.93	$25.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $37.72 / $57.18	Facility		$28.06	$37.72	$57.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $27.88 / $28.06	Professional		$13.27	$27.88	$28.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $32.90 / $57.18	Facility		$28.06	$32.90	$57.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $17.42 / $28.06	Professional		$17.42	$17.42	$28.06
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $26.60	Professional		$8.13	$8.13	$26.60