Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $28.39 / $28.39	Facility		$18.30	$28.39	$28.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.48 / $28.39	Professional		$18.30	$18.48	$28.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $106.30 / $182.30	Facility		$30.51	$106.30	$182.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $22.76	Professional		$16.86	$16.86	$22.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Facility		$18.30	$18.30	$18.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $18.30 / $18.30	Facility		$17.75	$18.30	$18.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30