Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $108.00 / $172.77	Facility		$40.00	$108.00	$172.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $22.51 / $97.46	Professional		$15.26	$22.51	$97.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $26.22 / $91,999.99	Facility		$26.22	$26.22	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Professional		$26.22	$26.22	$26.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $38.15 / $57.83	Facility		$28.38	$38.15	$57.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $25.78 / $28.38	Professional		$20.63	$25.78	$28.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $38.15 / $57.83	Facility		$28.38	$38.15	$57.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $19.57 / $28.38	Professional		$17.61	$19.57	$28.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.22 / $19.57	Professional		$7.84	$8.22	$19.57