Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $29.54 / $29.54	Facility		$22.02	$29.54	$29.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.23 / $27.96	Professional		$22.01	$22.23	$27.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.07 / $139.60 / $227.47	Facility		$38.07	$139.60	$227.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $29.30	Professional		$21.70	$21.70	$29.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Facility		$22.02	$22.02	$22.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $22.02 / $22.02	Facility		$21.05	$22.02	$22.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02