Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.35 / $142.35 / $142.35	Facility		$142.35	$142.35	$142.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $20.90 / $45.25	Professional		$16.70	$20.90	$45.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $77,999.99 / $94,999.99	Facility		$38.02	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $45.85	Facility		$19.14	$19.14	$45.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $19.14	Professional		$15.32	$15.32	$19.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $45.85	Facility		$19.14	$19.14	$45.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $16.63 / $21.69	Professional		$15.32	$16.63	$21.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33