Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $25.57 / $25.57	Facility		$16.52	$25.57	$25.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $18.34 / $20.97	Professional		$16.52	$18.34	$20.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $84.98 / $138.47	Facility		$23.17	$84.98	$138.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $15.10 / $19.34	Professional		$15.10	$15.10	$19.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Facility		$16.52	$16.52	$16.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $16.52 / $16.52	Facility		$14.87	$16.52	$16.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52
United Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $15.62 / $25.77	Facility		$15.62	$15.62	$25.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52