Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Facility		$47.92	$47.92	$47.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $10.63 / $13.33	Professional		$7.75	$10.63	$13.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $11.91 / $68,999.99	Facility		$11.91	$11.91	$68,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $11.91 / $11.91	Professional		$11.91	$11.91	$11.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $26.27 / $50.67	Facility		$13.34	$26.27	$50.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $9.91 / $12.39	Professional		$6.12	$9.91	$12.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $17.34 / $26.27	Facility		$11.19	$17.34	$26.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $11.11	Professional		$8.00	$8.00	$11.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $12.21	Professional		$3.73	$3.73	$12.21