Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $68.20 / $100.65	Facility		$34.95	$68.20	$100.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.83 / $70.53	Professional		$30.90	$34.83	$70.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.09 / $139.02 / $227.56	Facility		$38.09	$139.02	$227.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $37.35 / $37.35	Professional		$28.01	$37.35	$37.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Facility		$32.76	$32.76	$32.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Professional		$32.76	$32.76	$32.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $32.47 / $37.75	Facility		$22.72	$32.47	$37.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Professional		$32.76	$32.76	$32.76
United Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $34.95 / $35.11	Professional		$33.06	$34.95	$35.11