Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $44.67	Facility		$16.98	$23.99	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $21.38	Professional		$15.14	$15.85	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $123.03 / $208.93	Facility		$58.88	$123.03	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $4.68 / $30.20	Facility		$2.24	$4.68	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $18.20	Professional		$15.49	$15.49	$18.20