Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $90.00 / $112.10	Facility		$54.15	$90.00	$112.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $18.20 / $128.91	Professional		$14.83	$18.20	$128.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $26.87 / $91,999.99	Facility		$26.87	$26.87	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $26.87 / $26.87	Professional		$26.87	$26.87	$26.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $34.09 / $114.29	Facility		$29.07	$34.09	$114.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $29.07 / $29.07	Professional		$13.78	$29.07	$29.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $34.09 / $114.29	Facility		$29.07	$34.09	$114.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $29.07	Professional		$18.05	$18.05	$29.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $20.05	Professional		$8.42	$8.42	$20.05