Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $54.08 / $54.08	Professional		$9.67	$54.08	$54.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $68,099.99 / $94,999.99	Facility		$11.27	$68,099.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.27 / $11.27	Professional		$11.27	$11.27	$11.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $16.39 / $24.85	Facility		$12.19	$16.39	$24.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $11.87 / $12.19	Professional		$5.78	$11.87	$12.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $14.30 / $24.85	Facility		$12.19	$14.30	$24.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.41 / $12.19	Professional		$7.57	$8.41	$12.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $11.55	Professional		$3.53	$3.53	$11.55