Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.28 / $191.90 / $722.00	Facility		$117.28	$191.90	$722.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $85.99 / $107.49 / $758.10	Facility	25	$85.99	$107.49	$758.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $21.95 / $53.00	Professional		$8.23	$21.95	$53.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $11.81 / $24.19 / $74.00	Professional	25	$11.81	$24.19	$74.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $31.29 / $36.81	Professional		$13.67	$31.29	$36.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $13.67 / $36.81	Facility		$11.62	$13.67	$36.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $20.18 / $36.81	Professional		$9.42	$20.18	$36.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $20.28 / $36.69	Facility		$7.72	$20.28	$36.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $23.92 / $55.20	Professional		$12.30	$23.92	$55.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $34.45 / $41.60	Professional		$28.01	$34.45	$41.60