Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.89 / $369.89 / $369.89	Facility		$369.89	$369.89	$369.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $14.40 / $19.28	Professional		$11.04	$14.40	$19.28
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $14.43 / $14.43 / $14.43	Professional	CQ	$14.43	$14.43	$14.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $18.39 / $18.39	Professional		$17.48	$18.39	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $20.52 / $20.52	Facility		$18.39	$20.52	$20.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $16.55 / $26.72	Professional		$10.45	$16.55	$26.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $20.52 / $20.52	Facility		$18.39	$20.52	$20.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $16.45 / $25.89	Professional		$11.32	$16.45	$25.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $12.63 / $19.73	Professional		$12.63	$12.63	$19.73