Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.50 / $212.50 / $212.50	Facility		$212.50	$212.50	$212.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $110.05 / $137.72	Professional		$24.63	$110.05	$137.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $162.94 / $94,999.99	Facility		$28.70	$162.94	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $28.70 / $28.70	Professional		$28.70	$28.70	$28.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $36.40 / $122.09	Facility		$31.06	$36.40	$122.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $31.06 / $31.06	Professional		$14.80	$31.06	$31.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $36.40 / $122.09	Facility		$31.06	$36.40	$122.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $19.28 / $31.06	Professional		$19.28	$19.28	$31.06
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.85 / $23.56	Professional		$12.85	$12.85	$23.56