Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $80.75 / $254.48	Facility		$40.50	$80.75	$254.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $3.49 / $4.48	Professional		$2.39	$3.49	$4.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $91,999.99	Facility		$4.01	$4.01	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $5.83 / $8.84	Facility		$4.34	$5.83	$8.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $4.13 / $4.34	Professional		$2.04	$4.13	$4.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $5.08 / $8.84	Facility		$4.34	$5.08	$8.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $4.34	Professional		$2.69	$2.69	$4.34
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $2.99	Professional		$1.26	$1.26	$2.99