Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $55.46 / $55.46	Facility		$55.46	$55.46	$55.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $55.46 / $85.62	Professional		$48.46	$55.46	$85.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $265.95 / $456.10	Facility		$76.34	$265.95	$456.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $25.39 / $49.62	Facility		$6.28	$25.39	$49.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Professional		$48.65	$48.65	$48.65