Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $36.84 / $36.84	Facility		$23.65	$36.84	$36.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.89 / $32.47	Professional		$23.65	$23.89	$32.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $123.62 / $207.66	Facility		$34.76	$123.62	$207.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $21.56 / $29.11	Professional		$21.56	$21.56	$29.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Facility		$23.65	$23.65	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $23.65 / $23.65	Facility		$22.90	$23.65	$23.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65