Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $72.26 / $72.26	Professional		$72.26	$72.26	$72.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $3.94 / $3.94	Professional		$3.94	$3.94	$3.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $23.28 / $42.23	Facility		$23.28	$23.28	$42.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $31.41 / $42.23	Professional		$23.28	$31.41	$42.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $33.43 / $50.26	Facility		$23.28	$33.43	$50.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $31.41 / $42.23	Professional		$23.28	$31.41	$42.23
United Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $17.27 / $28.78	Professional		$16.28	$17.27	$28.78