Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $90.97 / $128.25	Facility		$15.93	$90.97	$128.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.55 / $29.02	Professional		$14.32	$17.55	$29.02
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 / $19.35 / $28.06	Professional		$17.42	$19.35	$28.06
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $26.60	Professional		$8.13	$8.13	$26.60