Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $24.48 / $91.00	Professional		$21.48	$24.48	$91.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $77,999.99 / $94,999.99	Facility		$156.94	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $32.60 / $32.60	Professional		$32.60	$32.60	$32.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $38.75 / $68.54	Facility		$32.60	$38.75	$68.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $31.39 / $49.56	Professional		$22.93	$31.39	$49.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $32.60 / $67.84	Facility		$18.77	$32.60	$67.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $32.60 / $51.46	Professional		$20.83	$32.60	$51.46
United Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Facility		$20.62	$20.62	$20.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $37.18 / $42.91	Professional		$32.14	$37.18	$42.91