Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.88 / $137.88 / $137.88	Facility		$137.88	$137.88	$137.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $129.88 / $129.88	Professional		$23.23	$129.88	$129.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $91,999.99	Facility		$27.07	$27.07	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Professional		$27.07	$27.07	$27.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $39.39 / $59.69	Facility		$29.29	$39.39	$59.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $28.91 / $29.29	Professional		$13.95	$28.91	$29.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $34.34 / $59.69	Facility		$29.29	$34.34	$59.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $20.20 / $29.29	Professional		$18.18	$20.20	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $11.55 / $34.59	Professional		$8.48	$11.55	$34.59