Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $72.44 / $72.44	Facility		$38.02	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $52.48	Professional		$30.20	$33.88	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $131.83 / $213.80	Facility		$60.26	$131.83	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $40.74	Professional		$30.20	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $67.61	Facility		$33.88	$33.88	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $31.62 / $33.88	Facility		$30.90	$31.62	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $40.74	Professional		$36.31	$36.31	$40.74