Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $38.11 / $38.11	Facility		$29.84	$38.11	$38.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $29.84 / $37.90	Professional		$29.83	$29.84	$37.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.17 / $269.27 / $437.19	Facility		$73.17	$269.27	$437.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $60.49 / $60.49	Professional		$60.49	$60.49	$60.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Facility		$29.84	$29.84	$29.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $36.79	Facility		$29.84	$29.84	$36.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84