Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $41.31 / $42.08	Facility		$27.85	$41.31	$42.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.12 / $246.02	Professional		$27.85	$28.12	$246.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $180.39 / $405.12	Facility		$49.02	$180.39	$405.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $29.97 / $40.46	Professional		$29.97	$29.97	$40.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Facility		$27.85	$27.85	$27.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $27.85 / $27.85	Facility		$22.44	$27.85	$27.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
United Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $24.94	Facility		$24.94	$24.94	$24.94
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85