Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.50 / $37.15	Facility		$13.80	$19.50	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $33.88	Professional		$12.02	$12.88	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $67.61 / $109.65	Facility		$30.90	$67.61	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $16.22	Professional		$12.02	$12.02	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $25.12	Facility		$12.59	$12.59	$25.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.59 / $12.59	Professional		$12.30	$12.59	$12.59