Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $65.42 / $65.42	Facility		$41.98	$65.42	$65.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $43.67 / $57.65	Professional		$41.97	$43.67	$57.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $200.10 / $326.06	Facility		$54.57	$200.10	$326.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $38.46 / $51.92	Professional		$38.46	$38.46	$51.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Facility		$41.98	$41.98	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $41.98 / $41.98	Facility		$40.61	$41.98	$41.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98
United Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98