Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $50.35 / $117.90	Facility		$9.90	$50.35	$117.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $15.83 / $22.42	Professional		$10.33	$15.83	$22.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $17.73 / $68,999.99	Facility		$17.73	$17.73	$68,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Professional		$17.73	$17.73	$17.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $39.11 / $75.47	Facility		$19.86	$39.11	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.28 / $19.10	Professional		$9.02	$15.28	$19.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $39.11 / $75.47	Facility		$19.86	$39.11	$75.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $11.92 / $16.55	Professional		$11.92	$11.92	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $18.20	Professional		$5.56	$5.56	$18.20