Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $75.04 / $75.04	Professional		$13.42	$75.04	$75.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $15.64 / $91,999.99	Facility		$15.64	$15.64	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $22.76 / $34.47	Facility		$16.92	$22.76	$34.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $16.52 / $16.92	Professional		$8.00	$16.52	$16.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $19.84 / $34.47	Facility		$16.92	$19.84	$34.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $16.92	Professional		$10.50	$10.50	$16.92
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $16.04	Professional		$4.90	$4.90	$16.04