Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.78 / $108.78 / $108.78	Facility		$108.78	$108.78	$108.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $30.95 / $173.03	Professional		$19.52	$30.95	$173.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $93.76 / $94,999.99	Facility		$36.06	$93.76	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $36.06 / $36.06	Professional		$36.06	$36.06	$36.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $45.75 / $153.38	Facility		$39.02	$45.75	$153.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $39.02 / $39.02	Professional		$13.10	$39.02	$39.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $45.75 / $153.38	Facility		$39.02	$45.75	$153.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $24.22 / $39.02	Professional		$24.22	$24.22	$39.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $16.14 / $26.91	Professional		$15.53	$16.14	$26.91