Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $50.12	Facility		$19.05	$26.92	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $23.99	Professional		$16.98	$16.98	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $95.50 / $162.18	Facility		$44.67	$95.50	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $19.95	Professional		$14.79	$14.79	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $35.48	Facility		$17.38	$17.38	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $17.38	Professional		$16.60	$17.38	$17.38