Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $151.04 / $301.31	Facility		$65.23	$151.04	$301.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $9.96 / $25.93	Professional		$9.96	$9.96	$25.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $77,999.99 / $94,999.99	Facility		$139.13	$77,999.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $104.40	Facility		$10.48	$10.48	$104.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $10.48	Professional		$9.86	$9.86	$10.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $104.40	Facility		$10.48	$10.48	$104.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $10.70 / $13.95	Professional		$9.86	$10.70	$13.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86