Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $576.29 / $576.29	Facility		$576.29	$576.29	$576.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $68.61 / $79.00	Professional		$12.27	$68.61	$79.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $68,099.99 / $94,999.99	Facility		$14.30	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $14.30 / $14.30	Professional		$14.30	$14.30	$14.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $20.81 / $31.53	Facility		$15.47	$20.81	$31.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $15.47 / $15.49	Professional		$7.31	$15.47	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $18.14 / $31.53	Facility		$15.47	$18.14	$31.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $15.47	Professional		$9.60	$9.60	$15.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $4.48 / $10.67	Professional		$4.48	$4.48	$10.67