Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $13.26	Professional		$10.13	$10.13	$13.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $40.17 / $94,999.99	Facility		$15.45	$40.17	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Professional		$15.45	$15.45	$15.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $16.72 / $16.72	Facility		$16.72	$16.72	$16.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $16.52 / $16.72	Professional		$13.22	$16.52	$16.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $16.72 / $16.72	Facility		$16.72	$16.72	$16.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $11.53 / $16.72	Professional		$10.38	$11.53	$16.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $11.53	Professional		$4.84	$4.84	$11.53