Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $19.25 / $19.25	Facility		$12.32	$19.25	$19.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.43 / $3,507.68	Professional		$12.32	$12.43	$3,507.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $67.54 / $110.06	Facility		$18.42	$67.54	$110.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $16.12	Professional		$11.94	$11.94	$16.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Facility		$12.32	$12.32	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.32 / $12.32	Facility		$12.19	$12.32	$12.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32