Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $27.30 / $27.30	Facility		$18.44	$27.30	$27.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $23.42 / $56.78	Professional		$18.44	$23.42	$56.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $121.72 / $208.74	Facility		$34.94	$121.72	$208.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Facility		$18.44	$18.44	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $5.31 / $18.44	Facility		$2.22	$5.31	$18.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44