Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $65.00	Professional		$3.00	$3.00	$65.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $26.29 / $26.29	Professional		$26.29	$26.29	$26.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $26.29 / $26.29	Facility		$26.29	$26.29	$26.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $12.21 / $66.59	Professional		$8.02	$12.21	$66.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $26.29 / $26.29	Facility		$26.29	$26.29	$26.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $22.33 / $36.25	Professional		$12.21	$22.33	$36.25
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $14.44 / $40.47	Professional		$14.44	$14.44	$40.47