Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $48.34 / $128.53	Facility		$9.71	$48.34	$128.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $83.15 / $200.70	Professional		$46.65	$83.15	$200.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $46.40 / $80.41 / $193.56	Professional	25	$46.40	$80.41	$193.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $96.98 / $114.10	Professional		$74.14	$96.98	$114.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $74.14 / $114.10	Facility		$63.02	$74.14	$114.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $82.06 / $124.27	Professional		$50.92	$82.06	$124.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $69.81 / $131.56	Facility		$40.49	$69.81	$131.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $102.69 / $170.39	Professional		$65.54	$102.69	$170.39
United Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $119.84 / $198.88	Professional		$94.86	$119.84	$198.88