Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $23.98 / $146.28	Professional		$23.98	$23.98	$146.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $68,099.99 / $94,999.99	Facility		$30.49	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $30.49 / $30.49	Professional		$30.49	$30.49	$30.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $38.68 / $129.68	Facility		$32.99	$38.68	$129.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $32.99 / $32.99	Professional		$13.78	$32.99	$32.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $38.68 / $129.68	Facility		$32.99	$38.68	$129.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $20.48 / $32.99	Professional		$20.48	$20.48	$32.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $22.75	Professional		$9.56	$9.56	$22.75