Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $62.10 / $62.10	Facility		$39.83	$62.10	$62.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $50.58 / $103.88	Professional		$39.83	$50.58	$103.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $221.27 / $360.56	Facility		$60.34	$221.27	$360.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $53.81	Professional		$39.86	$39.86	$53.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.86	Facility		$39.83	$39.83	$39.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83