Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.05 / $254.05 / $938.88	Facility		$28.05	$254.05	$938.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $9.44 / $14.73	Professional		$8.23	$9.44	$14.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $12.65 / $91,999.99	Facility		$12.65	$12.65	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $12.65 / $12.65	Professional		$12.65	$12.65	$12.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $18.41 / $27.90	Facility		$13.69	$18.41	$27.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.42 / $13.69	Professional		$6.46	$13.42	$13.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $16.05 / $27.90	Facility		$13.69	$16.05	$27.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $9.44 / $13.69	Professional		$8.50	$9.44	$13.69
United Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $12.97	Professional		$3.96	$3.96	$12.97