Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $30.95 / $30.95	Facility		$19.97	$30.95	$30.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $20.17 / $25.37	Professional		$19.96	$20.17	$25.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $84.70 / $138.02	Facility		$23.10	$84.70	$138.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $17.01 / $23.40	Professional		$17.01	$17.01	$23.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $19.97 / $19.97	Facility		$18.69	$19.97	$19.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97