Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $27.54 / $51.29	Facility		$19.50	$27.54	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $51.29	Professional		$16.98	$19.05	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $102.33 / $165.96	Facility		$46.77	$102.33	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $23.99	Professional		$17.78	$17.78	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
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 $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78