Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $27.46 / $27.46	Professional		$4.91	$27.46	$27.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $5.72 / $91,999.99	Facility		$5.72	$5.72	$91,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $5.72 / $5.72	Professional		$5.72	$5.72	$5.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $8.33 / $12.62	Facility		$6.19	$8.33	$12.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $6.19 / $6.20	Professional		$2.89	$6.19	$6.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $7.26 / $12.62	Facility		$6.19	$7.26	$12.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.26 / $6.19	Professional		$3.84	$4.26	$6.19
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $1.79 / $5.87	Professional		$1.79	$1.79	$5.87