Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $13.13 / $49.00	Professional		$7.72	$13.13	$49.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $14.55 / $14.55 / $14.67	Professional	CQ	$14.55	$14.55	$14.67
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 $20.98 / $22.08 / $22.08	Professional		$20.98	$22.08	$22.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $24.03 / $24.03	Facility		$22.08	$24.03	$24.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $18.77 / $22.08	Professional		$11.89	$18.77	$22.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $24.03 / $24.03	Facility		$22.08	$24.03	$24.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $19.00 / $27.04	Professional		$13.19	$19.00	$27.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $14.80 / $14.80	Professional		$12.17	$14.80	$14.80