Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $16.77 / $61.00	Professional		$14.36	$16.77	$61.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $77,999.99 / $94,999.99	Facility		$104.64	$77,999.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $21.56 / $21.56	Professional		$21.56	$21.56	$21.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $25.63 / $45.58	Facility		$21.56	$25.63	$45.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $20.93 / $33.07	Professional		$14.92	$20.93	$33.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $21.56 / $45.20	Facility		$12.51	$21.56	$45.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $21.56 / $34.13	Professional		$13.81	$21.56	$34.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $24.78 / $28.59	Professional		$21.42	$24.78	$28.59