Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Facility		$35.90	$35.90	$35.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $53.88	Professional		$35.92	$35.92	$53.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.13 / $48.13 / $77,999.99	Facility		$48.13	$48.13	$77,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $48.13 / $48.13	Professional		$48.13	$48.13	$48.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $52.08 / $52.08	Facility		$52.08	$52.08	$52.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $52.08 / $52.08	Professional		$52.08	$52.08	$52.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $52.08 / $52.08	Facility		$52.08	$52.08	$52.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $43.10 / $52.08	Professional		$32.33	$43.10	$52.08
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $35.90	Professional		$15.08	$15.08	$35.90