Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.86 / $55.86 / $55.86	Facility		$55.86	$55.86	$55.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.96 / $34.70	Professional		$13.42	$13.96	$34.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $91,999.99	Facility		$20.62	$20.62	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Professional		$20.62	$20.62	$20.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $30.01 / $45.48	Facility		$22.32	$30.01	$45.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $22.20 / $22.32	Professional		$10.55	$22.20	$22.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $26.16 / $45.48	Facility		$22.32	$26.16	$45.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $15.39 / $22.32	Professional		$13.85	$15.39	$22.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $21.15	Professional		$6.46	$6.46	$21.15