Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $37.96 / $79.45	Facility		$4.32	$37.96	$79.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $7.52	Professional		$3.98	$5.01	$7.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $91,999.99	Facility		$6.73	$6.73	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $9.78 / $14.83	Facility		$7.28	$9.78	$14.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $7.23 / $7.28	Professional		$3.40	$7.23	$7.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $8.52 / $14.83	Facility		$7.28	$8.52	$14.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.01 / $7.28	Professional		$4.51	$5.01	$7.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $6.90	Professional		$2.11	$2.11	$6.90