Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $23.98 / $172.84	Professional		$23.98	$23.98	$172.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $68,099.99 / $94,999.99	Facility		$36.02	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $36.02 / $36.02	Professional		$36.02	$36.02	$36.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $45.70 / $153.22	Facility		$38.97	$45.70	$153.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $38.97 / $38.97	Professional		$13.78	$38.97	$38.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $45.70 / $153.22	Facility		$38.97	$45.70	$153.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $24.19 / $38.97	Professional		$24.19	$24.19	$38.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.29 / $26.88	Professional		$11.29	$11.29	$26.88