Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $64.54 / $64.54	Facility		$42.48	$64.54	$64.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $57.96	Professional		$42.48	$42.48	$57.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Facility		$42.48	$42.48	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $42.50	Facility		$42.48	$42.48	$42.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48