Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $157.91 / $157.91	Professional		$28.24	$157.91	$157.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Professional		$32.90	$32.90	$32.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $47.89 / $72.56	Facility		$35.61	$47.89	$72.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $35.11 / $35.61	Professional		$8.17	$35.11	$35.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $41.75 / $72.56	Facility		$17.43	$41.75	$72.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $35.61	Professional		$22.10	$22.10	$35.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $10.32 / $24.56	Professional		$6.86	$10.32	$24.56